Compcare, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

M8062057 Issued in ID

Legal business name

COMPCARE, INC

Doing business as

A Compassionate Care, Co.

Practice address

524 Bryden Ave
Lewiston, ID 83501-4443

Phone

(208) 746-7433

Fax

(208) 746-5686

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Branden Rafael Beier

Title

President

Phone

(208) 746-7433

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• A Compassionate Care, Co. Doing business as

Tax ID family

A Compassionate Care Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Compcare Inc

  dba A Compassionatecare Company

  • Home Health Agency
  • Orofino, ID
  • NPI 1154593747
  NPD tax ID
• Compcare Inc

  dba A Compassionate Care Company

  • Durable Medical Equipment & Medical Supplies
  • Orofino, ID
  • NPI 1851563191
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1083043392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 126TH ST STE B",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835445016",
            "telephone_number": "208-476-3714",
            "fax_number": "208-476-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BRYDEN AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014443",
            "telephone_number": "208-746-7433",
            "fax_number": "208-746-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "BEIER",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-746-7433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "M8062057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8075146",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "V.A.",
            "identifier": "NONE",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8062057",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8068450",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Compassionate Care, Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Lewiston, ID
• Providers in Lewiston, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.