Provider Demographics
NPI:1346010857
Name:MIDWEST COMFORT CARE INC.
Entity Type:Organization
Organization Name:MIDWEST COMFORT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-464-9000
Mailing Address - Street 1:9000 E. JEFFERSON AVE
Mailing Address - Street 2:SUITE 26-12
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-5605
Mailing Address - Country:US
Mailing Address - Phone:313-464-9000
Mailing Address - Fax:
Practice Address - Street 1:9000 E. JEFFERSON AVE
Practice Address - Street 2:SUITE 26-12
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-5605
Practice Address - Country:US
Practice Address - Phone:313-464-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care