Provider Demographics
NPI:1578843264
Name:COMFORT LLC
Entity Type:Organization
Organization Name:COMFORT LLC
Other - Org Name:COMFORT HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OGANESS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GEVORKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-333-6170
Mailing Address - Street 1:165 DYERVILLE AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-4400
Mailing Address - Country:US
Mailing Address - Phone:401-369-7799
Mailing Address - Fax:401-369-7755
Practice Address - Street 1:165 DYERVILLE AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-4400
Practice Address - Country:US
Practice Address - Phone:401-369-7799
Practice Address - Fax:401-369-7755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02359251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health