Provider Demographics
NPI:1467820373
Name:JEFF HENRY INC
Entity Type:Organization
Organization Name:JEFF HENRY INC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-521-1337
Mailing Address - Street 1:7342 ORANGETHORPE AVE
Mailing Address - Street 2:SUITE B-109
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3326
Mailing Address - Country:US
Mailing Address - Phone:714-521-1337
Mailing Address - Fax:714-521-1338
Practice Address - Street 1:7342 ORANGETHORPE AVE
Practice Address - Street 2:SUITE B-109
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3326
Practice Address - Country:US
Practice Address - Phone:714-521-1337
Practice Address - Fax:714-521-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health