Provider Demographics
NPI:1548765647
Name:XFROGGER VENTURES
Entity Type:Organization
Organization Name:XFROGGER VENTURES
Other - Org Name:COMFORCARE HOME CARE - EAST COUNTY SAN DIEGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KALICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-634-9990
Mailing Address - Street 1:2363 NEEDHAM RD STE 150
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-2028
Mailing Address - Country:US
Mailing Address - Phone:619-486-1010
Mailing Address - Fax:
Practice Address - Street 1:2363 NEEDHAM RD STE 150
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2028
Practice Address - Country:US
Practice Address - Phone:619-486-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care