MEDICARE: COMPREHENSIVE HOME HEALTH, 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	251E00000X	Home Health Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	747915	OTHER	TX	MEDICARE PROVIDER NUMBER (PTAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	014791	OTHER	TX	TDHHS LICENSE HOME HEALTH

General Provider Information

NPI Number	:	1215208319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	4204 GARDENDALE ST STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3138
Country	:	US
Telephone Number	:	210-614-0200
Fax Number	:	210-569-6497

Provider Business Practice Location Address
First Line	:	4204 GARDENDALE ST STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3138
Country	:	US
Telephone Number	:	210-614-0200
Fax Number	:	210-569-6497

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ANDRES VILLA
Credential	:
Telephone Number	:	210-614-0200

Provider Enumeration Date	:	01/20/2012
Last Update Date	:	12/01/2021

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Directions to “COMPREHENSIVE HOME HEALTH, INC. ” Practice Location

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