Active NPI
Compass Health, Inc.
- Federally Qualified Health Center (FQHC)
- Raymore, MO
National Provider Identifier
1134711575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMPASS HEALTH, INC.
- Practice address
- 501 N Sunset
Raymore, MO 64083-9235 - Phone
- (888) 403-1071
- NPI assigned
- Feb 8, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Teresa L Porter
- Title
- Credentialing Manager
- Phone
- (660) 890-8156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210311000295 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Raymore, MO |
Federally qualified health center certification: CCN 791009
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 10, 2021
- Last certification
- Mar 10, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Nov 26, 1974 in MO
- Enrollment address
- 501 N Sunset LN
Raymore, MO 64083-9402
All disclosed owners & managing parties 15
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joi Niedner | Corporate Officer | Jun 1, 2025 | |
| Dennis Daugherty | Corporate Officer | Jun 1, 2025 | |
| Rebecca Culler | Corporate Officer | Jun 1, 2025 | |
| Robert Dawson | Corporate Officer | Jun 1, 2025 | |
| Susan Bowles | Corporate Officer | Jun 1, 2025 | |
| Rodney Reid | Corporate Officer | Jun 1, 2025 | |
| Teresa L Porter | W-2 Managing Employee | Mar 2, 2021 | |
| Shari Bax | Corporate Officer | Jun 1, 2025 | |
| Ross Henson | Corporate Officer | Jun 1, 2025 | |
| Tim Glasscock | Corporate Officer | Jun 1, 2025 | |
| Kathy Carter | Corporate Officer | Jun 1, 2025 | |
| Brian C Baker | Corporate Officer | Jun 1, 2025 | |
| Tim Alan Larimore | Corporate Officer | Jun 1, 2025 | |
| Leticia Villafain | Corporate Officer | Jun 1, 2025 | |
| Alan W Stevens | Corporate Director | Mar 2, 2021 |
All facility ownership & control disclosures 1
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Compass Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 11, 2018 |
National Provider Directory
National Provider Directory- Tax ID family
- Pathways Community Beha
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Case Management Agency
- Clinton, MO
- NPI 1144387499
-
- Federally Qualified Health Center (FQHC)
- Columbia, MO
- NPI 1194598771
-
- Federally Qualified Health Center (FQHC)
- Columbia, MO
- NPI 1205308236
-
- Federally Qualified Health Center (FQHC)
- Harrisonville, MO
- NPI 1235801416
-
- Federally Qualified Health Center (FQHC)
- Salisbury, MO
- NPI 1245479526
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clinton, MO
- NPI 1053766865
-
- Federally Qualified Health Center (FQHC)
- Warrensburg, MO
- NPI 1053879619
-
- Federally Qualified Health Center (FQHC)
- Moberly, MO
- NPI 1063052553
-
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
- NPI 1063056307
-
- Federally Qualified Health Center (FQHC)
- Saint Peters, MO
- NPI 1063998441
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1073055208
-
- Federally Qualified Health Center (FQHC)
- Troy, MO
- NPI 1073062592
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 N Sunset
Raymore, MO 64083-9235
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2021.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1134711575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "888-403-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N SUNSET",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839235",
"telephone_number": "888-403-1071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-08",
"last_updated": "2021-03-03",
"certification_date": "2021-02-18",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "660-890-8156"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.