Provider Demographics
NPI:1518389956
Name:COMPREHENSIVE IN-HOME HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE IN-HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-709-3680
Mailing Address - Street 1:9595 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2512
Mailing Address - Country:US
Mailing Address - Phone:310-492-4322
Mailing Address - Fax:310-492-4323
Practice Address - Street 1:13517 S MENLO AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-2133
Practice Address - Country:US
Practice Address - Phone:310-709-3680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-18
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health