MEDICARE: COMPREHENSIVE HOMECARE, 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	A-105-037	KS

General Provider Information

NPI Number	:	1922148386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HOMECARE, INC

Provider Business Mailing Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE 1A
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-281-5121
Fax Number	:	913-371-6811

Provider Business Practice Location Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE 1A
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-281-5121
Fax Number	:	913-371-6811

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/22/2020

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