Provider Demographics
NPI:1114383379
Name:1ST COMFORT HOME HEALTH, LLP
Entity Type:Organization
Organization Name:1ST COMFORT HOME HEALTH, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:BRYNNE
Authorized Official - Last Name:PRESTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:720-517-0418
Mailing Address - Street 1:5116 S DELAWARE ST APT C106
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-6750
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:303-200-8799
Practice Address - Street 1:5116 S DELAWARE ST APT C106
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-6750
Practice Address - Country:US
Practice Address - Phone:720-517-0418
Practice Address - Fax:303-200-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04B427251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health