Provider Demographics
NPI:1376989137
Name:COMPREHENSIVE HEALTHCARE ALLIANCE, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE ALLIANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-474-1375
Mailing Address - Street 1:282 NW 241ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2249
Mailing Address - Country:US
Mailing Address - Phone:352-474-1375
Mailing Address - Fax:866-262-3058
Practice Address - Street 1:282 NW 241ST ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-2249
Practice Address - Country:US
Practice Address - Phone:352-474-1375
Practice Address - Fax:866-262-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT 12665227800000X
FL3295302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty