Provider Demographics
NPI:1750500492
Name:COMFORT CARE HOME HEALTHCARE SERVICES,LLC
Entity Type:Organization
Organization Name:COMFORT CARE HOME HEALTHCARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIERA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-264-3333
Mailing Address - Street 1:PO BOX 809
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1209
Mailing Address - Country:US
Mailing Address - Phone:732-264-3333
Mailing Address - Fax:
Practice Address - Street 1:39R WEST FRONT ST
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1209
Practice Address - Country:US
Practice Address - Phone:732-264-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0400165854OtherSTATE REGISTER