Provider Demographics
NPI:1659713451
Name:COMFORT HANDS LLC
Entity type:Organization
Organization Name:COMFORT HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNEPACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-588-4532
Mailing Address - Street 1:3435 W CRAIG RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-5115
Mailing Address - Country:US
Mailing Address - Phone:702-538-8814
Mailing Address - Fax:702-560-0488
Practice Address - Street 1:3435 W CRAIG RD
Practice Address - Street 2:SUITE C
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-5115
Practice Address - Country:US
Practice Address - Phone:702-538-8814
Practice Address - Fax:702-560-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7599PCS-0305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization