Healthcare Provider Details
I. General information
NPI: 1578833968
Provider Name (Legal Business Name): COMPREHENSIVE EDUCATIONAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2012
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
807 BROAD ST SUITE 300, MB21
PROVIDENCE RI
02907-1676
US
IV. Provider business mailing address
807 BROAD ST SUITE 300, MB21
PROVIDENCE RI
02907-1676
US
V. Phone/Fax
- Phone: 401-369-8458
- Fax: 401-369-9285
- Phone: 401-369-8458
- Fax: 401-369-9285
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | NPA00100 |
| License Number State | RI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | NPA00100 |
| License Number State | RI |
VIII. Authorized Official
Name: MRS.
RACHEL
M
GARNETT-BLOE
Title or Position: PRESIDENT
Credential: BA, BSN, RN
Phone: 401-369-8458