Provider Demographics
NPI:1164274650
Name:COMFORT HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:COMFORT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-905-5295
Mailing Address - Street 1:30555 SOUTHFIELD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-7700
Mailing Address - Country:US
Mailing Address - Phone:248-905-5295
Mailing Address - Fax:248-905-5003
Practice Address - Street 1:30555 SOUTHFIELD RD STE 150
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-7700
Practice Address - Country:US
Practice Address - Phone:248-905-5295
Practice Address - Fax:248-905-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care