Provider Demographics
NPI:1346671740
Name:COMFORT HOME CARE LLC
Entity Type:Organization
Organization Name:COMFORT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-765-3153
Mailing Address - Street 1:2545 HEMPSTEAD TPKE
Mailing Address - Street 2:221
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2194
Mailing Address - Country:US
Mailing Address - Phone:516-765-3153
Mailing Address - Fax:516-308-4328
Practice Address - Street 1:2545 HEMPSTEAD TPKE
Practice Address - Street 2:221
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2194
Practice Address - Country:US
Practice Address - Phone:516-765-3153
Practice Address - Fax:516-308-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1758-L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health