Provider Demographics
NPI:1861053670
Name:COMPASS HOME HEALTH CARE
Entity type:Organization
Organization Name:COMPASS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:509-820-3110
Mailing Address - Street 1:2481 TIGER LANE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8837
Mailing Address - Country:US
Mailing Address - Phone:509-820-3110
Mailing Address - Fax:509-820-3110
Practice Address - Street 1:2481 TIGER LANE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8837
Practice Address - Country:US
Practice Address - Phone:509-820-3110
Practice Address - Fax:509-820-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-23
Last Update Date:2019-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891288387OtherDOL