Provider Demographics
NPI:1417237868
Name:COMFORCARE SENIOR SERVICES
Entity Type:Organization
Organization Name:COMFORCARE SENIOR SERVICES
Other - Org Name:JMC ENTERPRISES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-330-2960
Mailing Address - Street 1:2500 PACKARD ST
Mailing Address - Street 2:SUITE #205
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6827
Mailing Address - Country:US
Mailing Address - Phone:734-330-2960
Mailing Address - Fax:734-661-0217
Practice Address - Street 1:2500 PACKARD ST
Practice Address - Street 2:SUITE #205
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6827
Practice Address - Country:US
Practice Address - Phone:734-330-2960
Practice Address - Fax:734-661-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care