Provider Demographics
NPI:1235122441
Name:COMPREHENSIVE REHAB SERVICES, INC.
Entity type:Organization
Organization Name:COMPREHENSIVE REHAB SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-724-8040
Mailing Address - Street 1:23800 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3200
Mailing Address - Country:US
Mailing Address - Phone:313-724-8040
Mailing Address - Fax:313-724-8045
Practice Address - Street 1:23800 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3200
Practice Address - Country:US
Practice Address - Phone:313-724-8040
Practice Address - Fax:313-724-8045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236746Medicare ID - Type Unspecified