Provider Demographics
NPI:1083123442
Name:COMFORTING ARMS HOME CARE CENTER, LLC
Entity Type:Organization
Organization Name:COMFORTING ARMS HOME CARE CENTER, LLC
Other - Org Name:COMFORTING ARMS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:CATRICE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:409-937-4800
Mailing Address - Street 1:5750 N MAJOR DR APT 201
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-9025
Mailing Address - Country:US
Mailing Address - Phone:409-937-4800
Mailing Address - Fax:
Practice Address - Street 1:5750 N MAJOR DRIVE # 201
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77713-9025
Practice Address - Country:US
Practice Address - Phone:409-937-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016164251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health