NPIMap

Organization Active NPI

Comprehensive Residential Systems, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bowie, MD
National Provider Identifier
1841465028
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
DDA 20648-07 Issued in MD
Legal business name
COMPREHENSIVE RESIDENTIAL SYSTEMS, INC.
Practice address
4202 Taverngreen LN
Bowie, MD 20720-3541
Phone
(301) 809-0050
Fax
(443) 703-2331
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mr. Darren Lamont Purnell
Title
Director
Phone
(410) 802-3815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X DDA 20648-07 MD Primary

Addresses

Primary practice location

4202 Taverngreen LN
Bowie, MD 20720-3541

Mailing address

4202 Taverngreen LN
Bowie, MD 20720-3541
Phone (301) 809-0050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1841465028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 TAVERNGREEN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203541",
            "telephone_number": "301-809-0050",
            "fax_number": "443-703-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 TAVERNGREEN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203541",
            "telephone_number": "301-809-0050",
            "fax_number": "443-703-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE RESIDENTIAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-802-3815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": "DDA 20648-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.