NPIMap

Organization Active NPI

Comprehensive Systems, Inc

  • Adult Care Home Facility
  • Mason City, IA
National Provider Identifier
1144383464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
170064 Issued in IA
Legal business name
COMPREHENSIVE SYSTEMS, INC
Practice address
695 S Illinois Ave
Mason City, IA 50401-5405
Phone
(641) 228-4842
Fax
(641) 228-4675
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jack Brown
Title
Executive Director
Phone
(641) 228-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 170064 IA Primary

Addresses

Primary practice location

695 S Illinois Ave
Mason City, IA 50401-5405

Mailing address

1700 Clark St
PO Box 457
Charles City, IA 50616-0457
Phone (641) 228-4842

Other identifiers 1

IdentifierTypeStateIssuer
0893339MedicaidIA

Other names 1

  • MASON CITY GROUP HOME Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0931878Mason City Group Home695 South Illinois, Mason City, IA 50401Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Systems Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144383464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CLARK ST",
            "address_2": "PO BOX 457",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506160457",
            "telephone_number": "641-228-4842",
            "fax_number": "641-228-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S ILLINOIS AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015405",
            "telephone_number": "641-228-4842",
            "fax_number": "641-228-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-228-4842"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IA",
            "license": "170064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893339",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASON CITY GROUP HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason City, IA

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.