COMPASS ADULT CARE, INC. (NPI# 1154505097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154505097 |
| Entity Type | Organization |
| Organization Name | COMPASS ADULT CARE, INC. |
| Practice Address |
2633 West Blvd Charlotte NC 28208-6705 |
| Mailing Address |
Po Box 19649 Charlotte NC 28219-9649 |
| Practice Telephone | 7045214977 |
| Practice Fax Number | 7045218541 |
| Mailing Telephone | 7045214977 |
| Mailing Fax Number | 7045218541 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | MR. DEREK BULLARD (CEO) |
| Authorized Official Telephone | 7045214977 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACCESS FAMILY SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005166 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770768640 | Compass Adult Care, Inc. | Community/Behavioral Health | 4000 Shipyard Blvd, Suite 130, Wilmington, NC 28403-6192 | 2008-01-09 |
| 1942485818 | Compass Adult Care, Inc. | Community/Behavioral Health | 1100 Ridgefield Blvd, Suite 190, Asheville, NC 28806-6209 | 2008-01-09 |
| 1598940462 | Compass Adult Care, Inc. | Community/Behavioral Health | 2633 West Blvd, Charlotte, NC 28208-6705 | 2008-01-09 |
| 1245414184 | Compass Adult Care, Inc. | Psychologist | 1100 Ridgefield Blvd, Suite 190, Asheville, NC 28806-6209 | 2007-12-27 |
| Street Address |
2633 WEST BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104930700 | Mary Louise Mack | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2006-08-19 |
| 1861852261 | Anita Sheryll Wiley-holman | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2016-02-26 |
| 1073991832 | Julie Kathleen Campbell | Social Worker | 2633 West Blvd, Charlotte, NC 28208-6705 | 2015-05-13 |
| 1306232152 | Therese Newton | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2015-04-08 |
| 1083028518 | Tashina Stout | Social Worker | 2633 West Blvd, Charlotte, NC 28208-6705 | 2014-06-12 |
| 1225441736 | Amanda Justice | Social Worker | 2633 West Blvd, Charlotte, NC 28208-6705 | 2014-06-03 |
| 1215350681 | Lakisha Raymon | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2014-01-21 |
| 1811339351 | Theodore-joel U Oparah | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2013-07-25 |
| 1124464805 | Andrea Renee Whitener | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2013-05-21 |
| 1205184173 | Jennifer Marie Efune | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2012-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
| 1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
| 1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
| 1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
| 1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
| 1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
| 1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
| 1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.