Provider Demographics
NPI:1225285984
Name:COMFORTCARE HOMES, INC.
Entity Type:Organization
Organization Name:COMFORTCARE HOMES, INC.
Other - Org Name:COMFORTCARE HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPANY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:L.
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-685-3322
Mailing Address - Street 1:7701 E KELLOGG DR
Mailing Address - Street 2:SUITE 490
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-1706
Mailing Address - Country:US
Mailing Address - Phone:316-685-3322
Mailing Address - Fax:316-685-9822
Practice Address - Street 1:219 S MORNINGSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1813
Practice Address - Country:US
Practice Address - Phone:316-685-3322
Practice Address - Fax:316-685-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN-087047313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200362870AOtherHCBS