COMPASS HOME DIALYSIS LLC (NPI# 1255990529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255990529 |
| Entity Type | Organization |
| Organization Name | COMPASS HOME DIALYSIS LLC |
| Practice Address |
178 West Cambellton St Fairburn GA 30213 |
| Mailing Address |
1394 E 23rd St Brooklyn NY 11210-5113 |
| Practice Telephone | 7723493882 |
| Mailing Telephone | 7723493882 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JEREMY GRAVES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7723493882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1394 E 23rd St, Brooklyn, NY 112105113 | 7723493882 |
| Street Address |
178 WEST CAMBELLTON ST |
| City | FAIRBURN |
| State | GA |
| Zip Code | 30213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984262 | Stephanie Westbrook | Counselor | 5847 Landers Loop, Fairburn, GA 30213 | 2020-02-20 |
| 1780152694 | Selah | In Home Supportive Care | 5228 Rosewood Place, Fairburn, GA 30213 | 2018-11-08 |
| 1134642846 | Shaquina Jimmerson | Counselor | 1401 Peachtree St Ne, Suite 500, Atlanta, GA 30213 | 2017-07-25 |
| 1013447143 | Destoni Fleming | Durable Medical Equipment & Medical Supplies | 3885 Grassy Trace, Fairburn, GA 30213 | 2017-06-12 |
| 1003290891 | Tanya Sykes-clark | Speech-Language Pathologist | 6179 Chastain Way, Fairburn, GA 30213 | 2015-07-13 |
| 1467858613 | Dayo Ahisha Williams | Licensed Practical Nurse | 8064 South Fulton Parkway #1102, Fairburn, GA 30213 | 2014-11-17 |
| 1144658543 | Vanetta Donna Della Williams | Social Worker | 7923 Heathmore Drive, Fairburn, GA 30213 | 2013-10-22 |
| 1831522671 | Monique Harris | Social Worker | 7922 Applemist Dr, Fairburn, GA 30213 | 2013-08-15 |
| 1255668406 | Linda Walton | Occupational Therapy Assistant | 7040 Smoke Ridge Dr, Fairburn, GA 30213 | 2009-11-09 |
| 1720259690 | Circle of Care Health Care Inc | Registered Nurse | 5857 Village Loop, Fairburn, GA 30213 | 2008-03-18 |
| Find all providers in zip 30213 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1336759463 | Plattaz Dialysis, LLC | Clinic/Center | 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 | 2020-08-04 |
| 1174140743 | Home Dialysis Services Norcross LLC | Clinic/Center | 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 | 2020-06-30 |
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
| 1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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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.