Provider Demographics
NPI:1497077366
Name:COMFORTS OF HOME, L.L.C.
Entity Type:Organization
Organization Name:COMFORTS OF HOME, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:CLEMENT
Authorized Official - Last Name:KEENAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:515-771-2729
Mailing Address - Street 1:PO BOX 71171
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-0171
Mailing Address - Country:US
Mailing Address - Phone:515-771-2729
Mailing Address - Fax:
Practice Address - Street 1:1319 NW 93RD CT
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-6225
Practice Address - Country:US
Practice Address - Phone:515-771-2729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA489DLC-389306253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care