Provider Demographics
NPI:1710547641
Name:COMFORT CARE HOMECARE INC
Entity Type:Organization
Organization Name:COMFORT CARE HOMECARE INC
Other - Org Name:COMFORT CARE HOMECARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-644-7163
Mailing Address - Street 1:7873 NW 60TH LN
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3325
Mailing Address - Country:US
Mailing Address - Phone:561-644-7163
Mailing Address - Fax:
Practice Address - Street 1:23123 STATE ROAD 7 STE 200B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5407
Practice Address - Country:US
Practice Address - Phone:561-644-7163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106028500Medicaid