Provider Demographics
NPI:1619978269
Name:COMFORT HOME HEALTH CARE GROUP, INC.
Entity Type:Organization
Organization Name:COMFORT HOME HEALTH CARE GROUP, INC.
Other - Org Name:COMFORT HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-281-2332
Mailing Address - Street 1:2746 SUPERIOR DR NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8343
Mailing Address - Country:US
Mailing Address - Phone:507-281-2332
Mailing Address - Fax:507-281-2632
Practice Address - Street 1:2746 SUPERIOR DR NW
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8343
Practice Address - Country:US
Practice Address - Phone:507-281-2332
Practice Address - Fax:507-281-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02238251E00000X
MNHFID-21496310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN471856900Medicaid
MN8354COOtherBLUE CROSS BLUE SHIELD PR
MN173586OtherU CARE PROVIDER NUMBER
MN5900245OtherMEDICA PROVIDER NUMBER
MN8354COOtherBLUE CROSS BLUE SHIELD PR