Provider Demographics
NPI:1417599986
Name:NAB HOMECARE, INC.
Entity Type:Organization
Organization Name:NAB HOMECARE, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-424-6454
Mailing Address - Street 1:45640 WILLOW POND PLAZA
Mailing Address - Street 2:SUITE 100
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164
Mailing Address - Country:US
Mailing Address - Phone:703-639-4492
Mailing Address - Fax:703-574-1744
Practice Address - Street 1:45640 WILLOW POND PLAZA
Practice Address - Street 2:SUITE 100
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164
Practice Address - Country:US
Practice Address - Phone:703-639-4492
Practice Address - Fax:703-574-1744
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORT KEEPERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-16
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care