Provider Demographics
NPI:1619992641
Name:COMFORT CARE INC
Entity Type:Organization
Organization Name:COMFORT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:UGONMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EGEGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-279-6580
Mailing Address - Street 1:12743 CAPRICORN ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3979
Mailing Address - Country:US
Mailing Address - Phone:281-491-0722
Mailing Address - Fax:281-491-0750
Practice Address - Street 1:12743 CAPRICORN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3979
Practice Address - Country:US
Practice Address - Phone:281-491-0722
Practice Address - Fax:281-491-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6114670001Medicare NSC