Provider Demographics
NPI:1942586672
Name:COMPASS HOSPICE OF EAST TEXAS LLC
Entity type:Organization
Organization Name:COMPASS HOSPICE OF EAST TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-312-3595
Mailing Address - Street 1:112 E LINE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-5721
Mailing Address - Country:US
Mailing Address - Phone:859-312-3595
Mailing Address - Fax:800-746-0578
Practice Address - Street 1:112 E LINE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-5721
Practice Address - Country:US
Practice Address - Phone:859-312-3595
Practice Address - Fax:800-746-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based