Provider Demographics
NPI:1114276201
Name:ORANGE COUNTY COMFORT CARE, LLC
Entity Type:Organization
Organization Name:ORANGE COUNTY COMFORT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-832-2328
Mailing Address - Street 1:22551 MONTOVA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1910
Mailing Address - Country:US
Mailing Address - Phone:484-832-2328
Mailing Address - Fax:
Practice Address - Street 1:22551 MONTOVA
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1910
Practice Address - Country:US
Practice Address - Phone:484-832-2328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health