Provider Demographics
NPI:1174822605
Name:COMFORT IN-HOME SENIORS CARE, INC.
Entity Type:Organization
Organization Name:COMFORT IN-HOME SENIORS CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:YOUSAF
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARRT
Authorized Official - Phone:630-517-8320
Mailing Address - Street 1:1626 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-3350
Mailing Address - Country:US
Mailing Address - Phone:800-707-9244
Mailing Address - Fax:630-571-8320
Practice Address - Street 1:1626 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-3350
Practice Address - Country:US
Practice Address - Phone:800-707-9244
Practice Address - Fax:630-571-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL8000175253Z00000X, 372600000X, 3747P1801X, 374U00000X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty