Organization Active NPI

Comprehensive Professional Services LLC

  • Nursing Facility/Intermediate Care Facility
  • Stratford, OK
National Provider Identifier
1104036748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
OKNH2505 Issued in OK
Legal business name
COMPREHENSIVE PROFESSIONAL SERVICES LLC
Practice address
131 Cottonwood Street
Stratford, OK 74872-0636
Phone
(580) 759-2313
Fax
(580) 759-3567
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shauna Graves
Title
Owner
Phone
(580) 592-4953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OKNH2505 OK Primary

Addresses

Primary practice location

131 Cottonwood Street
Stratford, OK 74872-0636

Mailing address

PO Box 636
Stratford, OK 74872-0636
Phone (580) 759-2313

National Provider Directory

National Provider Directory

Locations

131 N Cottonwood Ln
Stratford, OK 74872
Phone (580) 759-2313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104036748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "STRATFORD",
            "state": "OK",
            "postal_code": "748720636",
            "telephone_number": "580-759-2313",
            "fax_number": "580-759-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COTTONWOOD STREET",
            "city": "STRATFORD",
            "state": "OK",
            "postal_code": "748720636",
            "telephone_number": "580-759-2313",
            "fax_number": "580-759-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-592-4953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "OKNH2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.