Provider Demographics
NPI:1194391219
Name:AMAZING COMFORT CARE
Entity Type:Organization
Organization Name:AMAZING COMFORT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOJICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-592-5338
Mailing Address - Street 1:1651 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-7174
Mailing Address - Country:US
Mailing Address - Phone:310-592-5338
Mailing Address - Fax:844-970-1027
Practice Address - Street 1:514 N CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-2113
Practice Address - Country:US
Practice Address - Phone:310-592-5338
Practice Address - Fax:844-970-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-29
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based