Provider Demographics
NPI:1467127589
Name:COMFORT INDEPENDENT LIVING
Entity Type:Organization
Organization Name:COMFORT INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ALECIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-552-7958
Mailing Address - Street 1:126 LANGLEY DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8070
Mailing Address - Country:US
Mailing Address - Phone:859-317-8002
Mailing Address - Fax:859-317-8002
Practice Address - Street 1:126 LANGLEY DR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8070
Practice Address - Country:US
Practice Address - Phone:859-317-8002
Practice Address - Fax:859-317-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care