NPIMap

Organization Active NPI

Comprehensive Systems, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Charles City, IA
National Provider Identifier
1821152695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
340574 Issued in IA
Legal business name
COMPREHENSIVE SYSTEMS, INC
Practice address
710 4TH Ave
Charles City, IA 50616-3043
Phone
(641) 228-4842
Fax
(641) 228-4675
NPI assigned
Dec 19, 2006
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 340574 IA Primary

Addresses

Primary practice location

710 4TH Ave
Charles City, IA 50616-3043

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0880500MedicaidIA

Other names 1

  • Fourth Avenue Group Home Other name

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

Locations

710 4th Ave
Charles City, IA 50616

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821152695",
    "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": "710 4TH AVE",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163043",
            "telephone_number": "641-228-4842",
            "fax_number": "641-228-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "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": "340574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880500",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth Avenue Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charles 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.