Provider Demographics
NPI:1730160078
Name:COMPASS HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:COMPASS HOME HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:MSM, BSN
Authorized Official - Phone:305-944-7777
Mailing Address - Street 1:16635 NE 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3149
Mailing Address - Country:US
Mailing Address - Phone:305-944-7777
Mailing Address - Fax:305-397-2134
Practice Address - Street 1:16635 NE 19TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3149
Practice Address - Country:US
Practice Address - Phone:305-944-7777
Practice Address - Fax:305-944-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992213251F00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAHCAMedicare UPIN