Fourth Avenue Group Home

LBN: Comprehensive Systems, Inc
Fourth Avenue Group Home is an health care organization with primary practice located at 710 4Th Ave , Charles City IA 50616-3043. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Comprehensive Systems, Inc can be contacted via phone (641) 228-4842, or through Brown, Jack via phone (641) 228-4842.

Contact Information

Primary practice address
710 4Th Ave Charles City IA 50616-3043
Phone: (641) 228-4842
Fax: (641) 228-4675
Website:
Map and Directions
Authorized official contact:
Name: Brown, Jack
Phone: (641) 228-4842

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 340574 Iowa

Profile Details

NPI number 1821152695
LBN Legal business name Comprehensive Systems, Inc
DBA Doing business as Fourth Avenue Group Home
Authorized official Brown, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821152695 NPPES
Iowa MEDICAID 0880500

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