Provider Demographics
NPI:1114006335
Name:COMFORT & CARE MEDICAL INC.
Entity Type:Organization
Organization Name:COMFORT & CARE MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-244-9130
Mailing Address - Street 1:2600 PHILMONT AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-5306
Mailing Address - Country:US
Mailing Address - Phone:215-244-9130
Mailing Address - Fax:215-244-9133
Practice Address - Street 1:2600 PHILMONT AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-5306
Practice Address - Country:US
Practice Address - Phone:215-244-9130
Practice Address - Fax:215-244-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0002738000OtherMAJOR MEDICAL AND COMPREH
PA4337830001Medicare ID - Type Unspecified