Provider Demographics
NPI:1174019673
Name:COMFORT AT HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:COMFORT AT HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:UNDRAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-617-8144
Mailing Address - Street 1:5315 N 118TH CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-3085
Mailing Address - Country:US
Mailing Address - Phone:414-617-8144
Mailing Address - Fax:
Practice Address - Street 1:5315 N 118TH CT
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-3085
Practice Address - Country:US
Practice Address - Phone:414-617-8144
Practice Address - Fax:262-650-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-08
Last Update Date:2018-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health