Provider Demographics
NPI:1093989824
Name:COMPREHENSIVE OUTPATIENT SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE OUTPATIENT SERVICES, INC.
Other - Org Name:SOUTHVIEW ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:913-281-5121
Mailing Address - Street 1:1701 S 45TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-2527
Mailing Address - Country:US
Mailing Address - Phone:913-677-2273
Mailing Address - Fax:916-677-2274
Practice Address - Street 1:1701 S 45TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-2527
Practice Address - Country:US
Practice Address - Phone:913-677-2273
Practice Address - Fax:916-677-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB105122385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care