Provider Demographics
NPI:1578737540
Name:COMPREHENSIVE HOME & COMPANION
Entity Type:Organization
Organization Name:COMPREHENSIVE HOME & COMPANION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-275-5858
Mailing Address - Street 1:21907 64TH AVE W
Mailing Address - Street 2:#230
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2200
Mailing Address - Country:US
Mailing Address - Phone:425-275-5858
Mailing Address - Fax:425-275-5855
Practice Address - Street 1:21907 64TH AVE W
Practice Address - Street 2:#230
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2200
Practice Address - Country:US
Practice Address - Phone:425-275-5858
Practice Address - Fax:425-275-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-21
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-184251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health