Provider Demographics
NPI:1093244261
Name:KOMFORTKARE SERVICES LLC
Entity Type:Organization
Organization Name:KOMFORTKARE SERVICES LLC
Other - Org Name:KOMFORTKARE HOME HEALTH, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADIANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-604-6274
Mailing Address - Street 1:1293 N UNIVERSITY DR # 230
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8315
Mailing Address - Country:US
Mailing Address - Phone:954-604-6274
Mailing Address - Fax:978-709-7577
Practice Address - Street 1:1293 N UNIVERSITY DR # 230
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8315
Practice Address - Country:US
Practice Address - Phone:954-604-6274
Practice Address - Fax:978-709-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health