Provider Demographics
NPI:1689671018
Name:COMFORT CARE MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:COMFORT CARE MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHALMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-519-2113
Mailing Address - Street 1:7801 YORK ROAD
Mailing Address - Street 2:SUITE 336
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7449
Mailing Address - Country:US
Mailing Address - Phone:410-828-0947
Mailing Address - Fax:410-828-8967
Practice Address - Street 1:405 FREDERICK ROAD
Practice Address - Street 2:SUITE 158A
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4633
Practice Address - Country:US
Practice Address - Phone:410-788-1881
Practice Address - Fax:410-788-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03326185332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD53379701OtherCAREFIRST BC BS
533797-03OtherCAREFIRST-BCBS
MD336248500-03Medicaid
F716-0001OtherF.E.P.I. BLUE COICE
MD0154940003Medicare NSC