Provider Demographics
NPI:1013403831
Name:COMFORTING HANDS HOME HEALTH AGENCY INCORPORATED
Entity Type:Organization
Organization Name:COMFORTING HANDS HOME HEALTH AGENCY INCORPORATED
Other - Org Name:COMFORTING HANDS HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAFEEQA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:845-380-5384
Mailing Address - Street 1:365 MANSION ST FL 1
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3501
Mailing Address - Country:US
Mailing Address - Phone:845-380-5384
Mailing Address - Fax:
Practice Address - Street 1:365 MANSION ST FL 1
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3501
Practice Address - Country:US
Practice Address - Phone:845-380-5384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-04
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X
NY738578-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care