Provider Demographics
NPI:1164755013
Name:DILIGENT ENTERPRISE INC.
Entity Type:Organization
Organization Name:DILIGENT ENTERPRISE INC.
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:GLENFORD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-702-1181
Mailing Address - Street 1:155 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7844
Mailing Address - Country:US
Mailing Address - Phone:203-702-1181
Mailing Address - Fax:203-702-4458
Practice Address - Street 1:155 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7844
Practice Address - Country:US
Practice Address - Phone:203-702-1181
Practice Address - Fax:203-702-4458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000400251E00000X, 251E00000X
253Z00000X, 253Z00000X, 372600000X, 374U00000X, 376K00000X, 385H00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA.0000400OtherCONSUMER PROTECTION
CT008035514Medicaid