Provider Demographics
NPI:1306190343
Name:LIFE COMFORT CARE, INC.
Entity Type:Organization
Organization Name:LIFE COMFORT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:JARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:323-393-5484
Mailing Address - Street 1:4650 ARROW HWY STE A10
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-1212
Mailing Address - Country:US
Mailing Address - Phone:909-244-9216
Mailing Address - Fax:909-992-3172
Practice Address - Street 1:4650 ARROW HWY STE A10
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-1212
Practice Address - Country:US
Practice Address - Phone:909-244-9216
Practice Address - Fax:909-992-3172
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFE COMFORT CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-29
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based