COMPASS ADULT CARE, INC. (NPI# 1598940462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598940462 |
| 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 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | MR. DEREK BULLARD (CEO) |
| Authorized Official Telephone | 7045214977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300825G | 05 | |
| NC | 8300825B | 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 |
| 1245414184 | Compass Adult Care, Inc. | Psychologist | 1100 Ridgefield Blvd, Suite 190, Asheville, NC 28806-6209 | 2007-12-27 |
| 1154505097 | Compass Adult Care, Inc. | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 1760090641 | Compact Health Services LLC | Community/Behavioral Health | 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 | 2020-07-16 |
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1114540093 | Curtis In Care LLC | Community/Behavioral Health | 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 | 2020-05-26 |
| 1477174407 | Garden of Life, Inc | Community/Behavioral Health | 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 | 2020-04-30 |
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1205468774 | Windsong Family & Psychiatric Associates, Pllc | Community/Behavioral Health | 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 | 2020-02-12 |
| 1265071542 | Counseling and Behavioral Therapy | Community/Behavioral Health | 16528 Silversword Dr, Charlotte, NC 28213-4876 | 2020-01-03 |
| 1578101283 | Davis Quality Care LLC | Community/Behavioral Health | 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 | 2019-12-12 |
| 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.