Provider Demographics
NPI:1922148386
Name:COMPREHENSIVE HOMECARE, INC
Entity Type:Organization
Organization Name:COMPREHENSIVE HOMECARE, INC
Other - Org Name:SOUTHVIEW HOMECARE
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 1A
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-2527
Mailing Address - Country:US
Mailing Address - Phone:913-281-5121
Mailing Address - Fax:913-371-6811
Practice Address - Street 1:1701 S 45TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-2527
Practice Address - Country:US
Practice Address - Phone:913-281-5121
Practice Address - Fax:913-371-6811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-105-037251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
177305AMedicare ID - Type Unspecified