Provider Demographics
NPI:1700160363
Name:COMPREHENSIVE CLIENT CARE SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE CLIENT CARE SERVICES, INC.
Other - Org Name:COMPREHENSIVE MEDICAL CLIENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:TROMBETTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:570-472-1299
Mailing Address - Street 1:39 S BEECH RD
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-2203
Mailing Address - Country:US
Mailing Address - Phone:570-451-3050
Mailing Address - Fax:570-451-3055
Practice Address - Street 1:716 MAIN ST
Practice Address - Street 2:
Practice Address - City:AVOCA
Practice Address - State:PA
Practice Address - Zip Code:18641-1623
Practice Address - Country:US
Practice Address - Phone:570-451-3050
Practice Address - Fax:570-451-3055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care