Provider Demographics
NPI:1033519889
Name:COMFORT HEALTHCARE AT HOME, INC
Entity Type:Organization
Organization Name:COMFORT HEALTHCARE AT HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEMITZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-399-9129
Mailing Address - Street 1:6787 BLOSSOM VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-5133
Mailing Address - Country:US
Mailing Address - Phone:314-399-9129
Mailing Address - Fax:
Practice Address - Street 1:6787 BLOSSOM VIEW DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-5133
Practice Address - Country:US
Practice Address - Phone:314-399-9129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty