Provider Demographics
NPI:1740173251
Name:PROUD COMFORT IN-HOME CARE LLC
Entity type:Organization
Organization Name:PROUD COMFORT IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SAAH
Authorized Official - Last Name:MORLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-615-0920
Mailing Address - Street 1:5900 ROCHE DR STE 152
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3272
Mailing Address - Country:US
Mailing Address - Phone:614-615-0920
Mailing Address - Fax:
Practice Address - Street 1:2988 W TAPESTRY DR
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:IN
Practice Address - Zip Code:46157-6146
Practice Address - Country:US
Practice Address - Phone:614-615-0920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health