Compass Home Care Services LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

COMPASS HOME CARE SERVICES LLC

Practice address

20 Edgewood Rd
Pittsfield, MA 01201-3306

Phone

(413) 446-7217

NPI assigned

Aug 29, 2020

Last updated

Aug 29, 2020By 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

Khadeejah Hassan, LICSW, LPNNPI 1528381597

Title

Social Worker and Nurse

Phone

(413) 446-7217

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khadeejah Hassan, LPN, LICSW

  • Counselor
  • Pittsfield, MA
  • NPI 1528381597
  NPD Authorized official

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598659200000",
    "number": "1417560350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EDGEWOOD RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013306",
            "telephone_number": "413-446-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EDGEWOOD RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013306",
            "telephone_number": "413-446-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "KHADEEJAH",
        "authorized_official_title_or_position": "SOCIAL WORKER AND NURSE",
        "authorized_official_telephone_number": "413-446-7217",
        "authorized_official_credential": "LICSW, LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.