Provider Demographics
NPI:1447392642
Name:E-COMFORT HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:E-COMFORT HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:ATIM
Authorized Official - Last Name:EMENYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-241-4143
Mailing Address - Street 1:13370 BRANCH VIEW LN
Mailing Address - Street 2:STE 165
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-5738
Mailing Address - Country:US
Mailing Address - Phone:972-241-4143
Mailing Address - Fax:972-241-4148
Practice Address - Street 1:13370 BRANCH VIEW LN
Practice Address - Street 2:STE 165
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-5738
Practice Address - Country:US
Practice Address - Phone:972-241-4143
Practice Address - Fax:972-241-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009625251E00000X
TX012624253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012624Medicaid
TX679526Medicare PIN