Provider Demographics
NPI:1326268053
Name:WARREN FAMILY ENTERPRISES, LLC
Entity Type:Organization
Organization Name:WARREN FAMILY ENTERPRISES, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:440-721-0100
Mailing Address - Street 1:7757 AUBURN RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:CONCORD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9609
Mailing Address - Country:US
Mailing Address - Phone:440-721-0100
Mailing Address - Fax:440-721-0107
Practice Address - Street 1:7757 AUBURN RD
Practice Address - Street 2:SUITE 20
Practice Address - City:CONCORD TWP
Practice Address - State:OH
Practice Address - Zip Code:44077-9609
Practice Address - Country:US
Practice Address - Phone:440-721-0100
Practice Address - Fax:440-721-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2618091Medicaid