Provider Demographics
NPI:1164272597
Name:COSNER'S COMFORTABLE CARE, LLC
Entity Type:Organization
Organization Name:COSNER'S COMFORTABLE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPONSOR
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:SMALLS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:703-969-1518
Mailing Address - Street 1:5002 DOLLARD DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2419
Mailing Address - Country:US
Mailing Address - Phone:703-939-1518
Mailing Address - Fax:
Practice Address - Street 1:5002 DOLLARD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2419
Practice Address - Country:US
Practice Address - Phone:703-939-1518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care