Provider Demographics
NPI:1093938656
Name:COMPREHENSIVE HEALTH SYSTEMS INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADY
Authorized Official - Middle Name:AL
Authorized Official - Last Name:ALFRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-263-2583
Mailing Address - Street 1:941 EAST MCNEESE STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-1729
Mailing Address - Country:US
Mailing Address - Phone:337-478-7727
Mailing Address - Fax:337-477-4253
Practice Address - Street 1:941 EAST MCNEESE STREET
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-1729
Practice Address - Country:US
Practice Address - Phone:337-478-7727
Practice Address - Fax:337-477-4253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1369772Medicaid