Provider Demographics
NPI:1316550635
Name:COMFORT CARE SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:COMFORT CARE SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOROWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-334-1818
Mailing Address - Street 1:1601 S SANDHILL RD
Mailing Address - Street 2:62
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-334-1818
Mailing Address - Fax:
Practice Address - Street 1:1601 S SANDHILL RD
Practice Address - Street 2:62
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104
Practice Address - Country:US
Practice Address - Phone:702-334-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care