Provider Demographics
NPI:1033417837
Name:COMFORCARE HOME CARE
Entity Type:Organization
Organization Name:COMFORCARE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CARE CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-793-2400
Mailing Address - Street 1:414 TENNESSEE ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-8163
Mailing Address - Country:US
Mailing Address - Phone:909-793-2400
Mailing Address - Fax:909-793-7272
Practice Address - Street 1:414 TENNESSEE ST
Practice Address - Street 2:SUITE M
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8163
Practice Address - Country:US
Practice Address - Phone:909-793-2400
Practice Address - Fax:909-793-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1006136251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health