Provider Demographics
NPI:1063562106
Name:COMPREHENSIVE HOME MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:COMPREHENSIVE HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JON
Authorized Official - Last Name:MIGNACCA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:401-463-9400
Mailing Address - Street 1:11 COMSTOCK PKWY
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2003
Mailing Address - Country:US
Mailing Address - Phone:401-463-9400
Mailing Address - Fax:401-463-9402
Practice Address - Street 1:1150 OAKLAWN AVENUE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-2600
Practice Address - Country:US
Practice Address - Phone:401-463-9400
Practice Address - Fax:401-463-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI76023OtherBLUE CROSS BLUE SHIELD RI
RICH12438Medicaid
RI284720219OtherNHPRI
RI0972580001Medicare ID - Type Unspecified