MEDICARE: COMPREHENSIVE REENTRY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	251B00000X	Case Management Agency
4	251C00000X	Developmentally Disabled Services Day Training Agency
5	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
6	273Y00000X	Rehabilitation Hospital Unit
7	324500000X	Substance Abuse Rehabilitation Facility
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1093670812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE REENTRY SERVICES

Provider Business Mailing Address
First Line	:	521 DOROTHY ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-2818
Country	:	US
Telephone Number	:	505-810-6370
Fax Number	:	505-810-6370

Provider Business Practice Location Address
First Line	:	1605 JUAN TABO BLVD NE STE U
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-4459
Country	:	US
Telephone Number	:	505-712-0170
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ANDREW J MILLER
Credential	:	CCSS
Telephone Number	:	505-810-6370

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “COMPREHENSIVE REENTRY SERVICES ” Practice Location

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