Provider Demographics
NPI:1346632700
Name:COMFORT PAS LLC
Entity Type:Organization
Organization Name:COMFORT PAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:JANGDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-970-3883
Mailing Address - Street 1:10430 S KIRKWOOD RD # 123
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5001
Mailing Address - Country:US
Mailing Address - Phone:832-970-3883
Mailing Address - Fax:
Practice Address - Street 1:10430 S KIRKWOOD RD # 123
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5001
Practice Address - Country:US
Practice Address - Phone:832-970-3883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017012OtherDADS