COMPASS HOME DIALYSIS LLC – NPI #1255990529
Clinic/Center

COMPASS HOME DIALYSIS LLC is an AHC clinic located in FAIRBURN, GA. NPPES has assigned the NPI number 1255990529 to COMPASS HOME DIALYSIS LLC on June 11, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPASS HOME DIALYSIS LLC below.

NPI Profile for
COMPASS HOME DIALYSIS LLC

NPI Number
1255990529
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPASS HOME DIALYSIS LLC
Primary location
178 WEST CAMBELLTON ST
FAIRBURN, GA 30213
Phone: (772) 349-3882 Fax:
1 Other location(s):
1394 E 23rd St
Brooklyn, NY 11210-5113
Phone: (772) 349-3882
Mailing address
1394 E 23RD ST
BROOKLYN, NY 11210-5113
Phone: (772) 349-3882 Fax:
Organization Subpart
No
Authorized Official
JEREMY GRAVES
CHIEF OPERATING OFFICER
Phone: (772) 349-3882
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.