Provider Demographics
NPI:1568896462
Name:COMFORT CARE ENTERPRISES
Entity Type:Organization
Organization Name:COMFORT CARE ENTERPRISES
Other - Org Name:COMFORT CARE PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOROBIEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-469-0222
Mailing Address - Street 1:530 N PUENTE ST
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2804
Mailing Address - Country:US
Mailing Address - Phone:888-469-0222
Mailing Address - Fax:714-256-2004
Practice Address - Street 1:530 N PUENTE ST
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-2804
Practice Address - Country:US
Practice Address - Phone:888-469-0222
Practice Address - Fax:714-256-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52903332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies