Provider Demographics
NPI:1225911985
Name:COMPREHENSIVE HEALTHCARE INNOVATIVE SOLUTIONS LLC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE INNOVATIVE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LASONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:805-330-0910
Mailing Address - Street 1:21 W CLARKE AVE STE 1030
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1857
Mailing Address - Country:US
Mailing Address - Phone:302-742-9434
Mailing Address - Fax:
Practice Address - Street 1:21 W CLARKE AVE STE 1030
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1857
Practice Address - Country:US
Practice Address - Phone:302-742-9434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE HEALTHCARE INNOVATIVE SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-30
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty