Provider Demographics
NPI:1376641266
Name:COMFORT CARE HOME HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:COMFORT CARE HOME HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISSETT
Authorized Official - Middle Name:
Authorized Official - Last Name:HISGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-233-3310
Mailing Address - Street 1:13380 SW 131ST ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5857
Mailing Address - Country:US
Mailing Address - Phone:305-233-3310
Mailing Address - Fax:305-233-6066
Practice Address - Street 1:13380 SW 131ST ST
Practice Address - Street 2:STE 114
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5857
Practice Address - Country:US
Practice Address - Phone:305-233-3310
Practice Address - Fax:305-233-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108306Medicare ID - Type UnspecifiedMEDICARE PROVIDER