Provider Demographics
NPI:1003961129
Name:CENTER FOR COMPREHENSIVE SERVICES, INC.
Entity Type:Organization
Organization Name:CENTER FOR COMPREHENSIVE SERVICES, INC.
Other - Org Name:NEURORESTORATIVE FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:P
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-708-9444
Mailing Address - Street 1:980 WASHINGTON ST STE 306
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6797
Mailing Address - Country:US
Mailing Address - Phone:781-708-9444
Mailing Address - Fax:813-621-0770
Practice Address - Street 1:2411 CLEMENT ROAD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5552
Practice Address - Country:US
Practice Address - Phone:813-948-3325
Practice Address - Fax:813-948-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
1927477OtherFIRST HEALTH