Provider Demographics
NPI:1609163427
Name:CAMMAS CORPORATION
Entity Type:Organization
Organization Name:CAMMAS CORPORATION
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:YORK
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-362-9800
Mailing Address - Street 1:PO BOX 1783
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46352-1783
Mailing Address - Country:US
Mailing Address - Phone:219-362-9800
Mailing Address - Fax:219-326-5044
Practice Address - Street 1:1719 STATE ST
Practice Address - Street 2:SUITE C
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3177
Practice Address - Country:US
Practice Address - Phone:219-362-9800
Practice Address - Fax:219-326-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11-011978-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care