NPIMap

Organization Active NPI

Comprehensive Systems, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Waterloo, IA
National Provider Identifier
1497819874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
07949 Issued in IA
Legal business name
COMPREHENSIVE SYSTEMS, INC
Practice address
4049 Richland Dr
Waterloo, IA 50701-3118
Phone
(641) 228-4842
Fax
(641) 228-4675
NPI assigned
Dec 20, 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
Intellectual Disabilities Intermediate Care Facility 315P00000X 07949 IA Primary

Addresses

Primary practice location

4049 Richland Dr
Waterloo, IA 50701-3118

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0882092MedicaidIA

Other names 1

  • RICHLAND DRIVE ICFMR Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497819874. Details of each certification follow.

  • CCN 16G146 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G146

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RICHLAND GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 2, 2006
Last certification
Apr 30, 2025
Beds
8
Ownership / control type
Private (non-profit)
Most recent change of ownership
Mar 12, 2009
Facility address
4049 Richland Dr
Waterloo, IA 50701

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497819874",
    "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": "4049 RICHLAND DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013118",
            "telephone_number": "641-228-4842",
            "fax_number": "641-228-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "07949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882092",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHLAND DRIVE ICFMR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.