Provider Demographics
NPI:1720385339
Name:L & S COMFORT SENIOR SERVICES
Entity Type:Organization
Organization Name:L & S COMFORT SENIOR SERVICES
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:ORDONEZ
Authorized Official - Last Name:PADAMA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:707-557-6900
Mailing Address - Street 1:1523 TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-4654
Mailing Address - Country:US
Mailing Address - Phone:707-557-6900
Mailing Address - Fax:707-557-4269
Practice Address - Street 1:1523 TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-4654
Practice Address - Country:US
Practice Address - Phone:707-557-6900
Practice Address - Fax:707-557-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care