Provider Demographics
NPI:1467226977
Name:ETERNAL COMFORT HOMECARE LLC
Entity Type:Organization
Organization Name:ETERNAL COMFORT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SULEIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-974-9341
Mailing Address - Street 1:3422 PARTRIDGE PL APT 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4934
Mailing Address - Country:US
Mailing Address - Phone:614-974-9341
Mailing Address - Fax:
Practice Address - Street 1:3422 PARTRIDGE PL APT 300
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4934
Practice Address - Country:US
Practice Address - Phone:614-974-9341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care