Provider Demographics
NPI:1437760162
Name:COMFORT CARING HOME HEALTH LLC
Entity Type:Organization
Organization Name:COMFORT CARING HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-791-9156
Mailing Address - Street 1:511 S BRIGHTLEAF BLVD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4076
Mailing Address - Country:US
Mailing Address - Phone:919-791-9156
Mailing Address - Fax:
Practice Address - Street 1:511 S BRIGHTLEAF BLVD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4076
Practice Address - Country:US
Practice Address - Phone:919-791-9156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200548Medicaid