Provider Demographics
NPI:1013592617
Name:COMFORTING CARE 1 LLC
Entity Type:Organization
Organization Name:COMFORTING CARE 1 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHYNA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-329-3707
Mailing Address - Street 1:7054 CHIPPEWA DR
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-4090
Mailing Address - Country:US
Mailing Address - Phone:734-329-3707
Mailing Address - Fax:
Practice Address - Street 1:7054 CHIPPEWA DR
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-4090
Practice Address - Country:US
Practice Address - Phone:734-329-3707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty