MEDICARE: COMPREHENSIVE OUTPATIENT 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	385H00000X	Respite Care	B105122	KS

General Provider Information

NPI Number	:	1093989824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE OUTPATIENT SERVICES, INC.

Provider Business Mailing Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE D
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-677-2273
Fax Number	:	916-677-2274

Provider Business Practice Location Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE D
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-677-2273
Fax Number	:	916-677-2274

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. EDWARD JAMES LEWIS
Credential	:	RN
Telephone Number	:	913-281-5121

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	04/14/2008

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