Provider Demographics
NPI:1689331639
Name:SOUTHWEST COMFORT CARE LLC
Entity Type:Organization
Organization Name:SOUTHWEST COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:FERRERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-615-1527
Mailing Address - Street 1:3370 N HAYDEN RD STE 123
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6632
Mailing Address - Country:US
Mailing Address - Phone:602-615-1527
Mailing Address - Fax:
Practice Address - Street 1:8608 E ROANOKE AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-1841
Practice Address - Country:US
Practice Address - Phone:602-615-1527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite Care