Provider Demographics
NPI:1699910364
Name:COMPASION LLC
Entity type:Organization
Organization Name:COMPASION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMALITA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:KOVACH-WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-499-5066
Mailing Address - Street 1:549 E BRAMBLETON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2915
Mailing Address - Country:US
Mailing Address - Phone:757-499-5066
Mailing Address - Fax:757-333-7467
Practice Address - Street 1:549 E BRAMBLETON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2915
Practice Address - Country:US
Practice Address - Phone:757-499-5066
Practice Address - Fax:757-333-7467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No251C00000XAgenciesDay Training, Developmentally Disabled Services