Provider Demographics
NPI:1609379155
Name:COMFORT KEEPERS ADULT DAY CARE, LLC
Entity Type:Organization
Organization Name:COMFORT KEEPERS ADULT DAY CARE, LLC
Other - Org Name:COMFORT KEEPERS ADULT DAY CARE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:321-266-7715
Mailing Address - Street 1:7350 FUTURES DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9083
Mailing Address - Country:US
Mailing Address - Phone:407-765-1880
Mailing Address - Fax:
Practice Address - Street 1:7350 FUTURES DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9083
Practice Address - Country:US
Practice Address - Phone:407-765-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care