Provider Demographics
NPI:1215355532
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:OWNER/OPERTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FAIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-618-5710
Mailing Address - Street 1:5983 COLUMBIA PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2041
Mailing Address - Country:US
Mailing Address - Phone:703-618-5710
Mailing Address - Fax:
Practice Address - Street 1:5983 COLUMBIA PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2041
Practice Address - Country:US
Practice Address - Phone:703-618-5710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-141111251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health