Provider Demographics
NPI:1902950124
Name:COMPASS ROSE CARE, LTD
Entity Type:Organization
Organization Name:COMPASS ROSE CARE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:TURICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-544-3385
Mailing Address - Street 1:507 POTTSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:MINERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17954-1823
Mailing Address - Country:US
Mailing Address - Phone:570-544-3385
Mailing Address - Fax:
Practice Address - Street 1:507 POTTSVILLE ST
Practice Address - Street 2:
Practice Address - City:MINERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17954-1823
Practice Address - Country:US
Practice Address - Phone:570-544-3385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012657000001Medicaid