Provider Demographics
NPI:1639462963
Name:BOOMER SERVICES PLUS, INC.
Entity Type:Organization
Organization Name:BOOMER SERVICES PLUS, INC.
Other - Org Name:DBA -COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:H
Authorized Official - Last Name:GEIER
Authorized Official - Suffix:
Authorized Official - Credentials:BFA, MS
Authorized Official - Phone:516-442-2300
Mailing Address - Street 1:3355 LAWSON BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3714
Mailing Address - Country:US
Mailing Address - Phone:516-442-2300
Mailing Address - Fax:516-442-2301
Practice Address - Street 1:3355 LAWSON BOULEVARD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3714
Practice Address - Country:US
Practice Address - Phone:516-442-2300
Practice Address - Fax:516-442-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care