=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083591317
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPREHENSIVE CARE SOLUTIONS LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2025
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3611 14TH AVE STE 556
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11218-3785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-809-2806
-----------------------------------------------------
Fax | 866-775-0111
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 190416
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11219-0416
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-809-2806
-----------------------------------------------------
Fax | 866-775-0111
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BOARD MEMBER
-----------------------------------------------------
Name | SHELDON KOHL
-----------------------------------------------------
Credential | CPA
-----------------------------------------------------
Telephone | 718-809-2806
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------