Provider Demographics
NPI:1689350167
Name:COMPREHENSIVE DISABILITY SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE DISABILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOYA
Authorized Official - Middle Name:ALICE ESTHER
Authorized Official - Last Name:DJINKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-476-3200
Mailing Address - Street 1:816 THAYER AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4593
Mailing Address - Country:US
Mailing Address - Phone:240-476-3200
Mailing Address - Fax:
Practice Address - Street 1:8215 FENTON ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4546
Practice Address - Country:US
Practice Address - Phone:301-755-6107
Practice Address - Fax:301-755-6105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care CampGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty