MEDICARE: CENTER FOR COMPREHENSIVE SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1811468408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR COMPREHENSIVE SERVICES, INC

Provider Business Mailing Address
First Line	:	980 WASHINGTON ST STE 306
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-6797
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3135 S MONTE CRISTO WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3228
Country	:	US
Telephone Number	:	949-794-0789
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	SERGIO P CRUZ
Credential	:
Telephone Number	:	781-471-5549

Provider Enumeration Date	:	12/08/2018
Last Update Date	:	12/08/2018

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