Provider Demographics
NPI:1407109994
Name:COMFORT CARE MINISTRY INTERNATIONAL LLC
Entity Type:Organization
Organization Name:COMFORT CARE MINISTRY INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:AARON
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:609-954-7107
Mailing Address - Street 1:572 CENTENNIAL AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-2114
Mailing Address - Country:US
Mailing Address - Phone:609-954-7107
Mailing Address - Fax:609-278-5750
Practice Address - Street 1:572 CENTENNIAL AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629-2114
Practice Address - Country:US
Practice Address - Phone:609-954-7107
Practice Address - Fax:609-278-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-21
Last Update Date:2012-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11439000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health