Provider Demographics
NPI:1679798862
Name:PFUNK ENTERPRISE INC.
Entity Type:Organization
Organization Name:PFUNK ENTERPRISE INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:PFUNK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-529-6810
Mailing Address - Street 1:1538 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1083
Mailing Address - Country:US
Mailing Address - Phone:215-529-6810
Mailing Address - Fax:215-529-6813
Practice Address - Street 1:1538 W BROAD ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1083
Practice Address - Country:US
Practice Address - Phone:215-529-6810
Practice Address - Fax:215-529-6813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006890850001OtherWAIVER