Provider Demographics
NPI:1225669401
Name:COMFORT CARE COMPANION LLC
Entity Type:Organization
Organization Name:COMFORT CARE COMPANION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-705-1017
Mailing Address - Street 1:15154 GOULD RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48002-4206
Mailing Address - Country:US
Mailing Address - Phone:810-705-1017
Mailing Address - Fax:
Practice Address - Street 1:15154 GOULD RD
Practice Address - Street 2:
Practice Address - City:ALLENTON
Practice Address - State:MI
Practice Address - Zip Code:48002-4206
Practice Address - Country:US
Practice Address - Phone:810-705-1017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care