Provider Demographics
NPI:1508385048
Name:COMICE CARE LLC
Entity Type:Organization
Organization Name:COMICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOISETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-764-5602
Mailing Address - Street 1:1 KIDDIE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1171
Mailing Address - Country:US
Mailing Address - Phone:774-296-8561
Mailing Address - Fax:774-296-8564
Practice Address - Street 1:1 KIDDIE DR STE 104
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1171
Practice Address - Country:US
Practice Address - Phone:774-296-8561
Practice Address - Fax:774-296-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health