Provider Demographics
NPI:1558848663
Name:PRUDENT COMFORT HOMES INC
Entity Type:Organization
Organization Name:PRUDENT COMFORT HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-964-4782
Mailing Address - Street 1:902 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-2012
Mailing Address - Country:US
Mailing Address - Phone:562-964-4782
Mailing Address - Fax:424-227-8596
Practice Address - Street 1:902 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-2012
Practice Address - Country:US
Practice Address - Phone:562-964-4782
Practice Address - Fax:424-227-8596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
306004426310400000X
CA3060044263104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility