Provider Demographics
NPI:1740800408
Name:GOODWILL CARE SERVICES, LLC DBA COMFORCARE
Entity Type:Organization
Organization Name:GOODWILL CARE SERVICES, LLC DBA COMFORCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-210-9889
Mailing Address - Street 1:115 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3422
Mailing Address - Country:US
Mailing Address - Phone:864-351-0119
Mailing Address - Fax:
Practice Address - Street 1:3401 HIGHWAY 153 STE A3
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-6760
Practice Address - Country:US
Practice Address - Phone:864-269-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care