Provider Demographics
NPI:1679823769
Name:COMFORT ZONE HOME SERVICES L.L.C.
Entity Type:Organization
Organization Name:COMFORT ZONE HOME SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:STACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-296-6150
Mailing Address - Street 1:7733 FORSYTH BLVD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-1817
Mailing Address - Country:US
Mailing Address - Phone:314-296-6150
Mailing Address - Fax:314-296-6001
Practice Address - Street 1:7733 FORSYTH BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-1817
Practice Address - Country:US
Practice Address - Phone:314-296-6150
Practice Address - Fax:314-296-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care