Provider Demographics
NPI:1659046415
Name:COMFORT CARE HOMES OF HARVEY COUNTY, LLC
Entity Type:Organization
Organization Name:COMFORT CARE HOMES OF HARVEY COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:OPERATOR
Authorized Official - Phone:316-804-7220
Mailing Address - Street 1:1504 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-6316
Mailing Address - Country:US
Mailing Address - Phone:316-804-7220
Mailing Address - Fax:
Practice Address - Street 1:1504 TERRACE DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-6316
Practice Address - Country:US
Practice Address - Phone:316-804-7220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)