Provider Demographics
NPI:1750662706
Name:COMFORT HOME HEALTH CARE.LLC
Entity Type:Organization
Organization Name:COMFORT HOME HEALTH CARE.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIR
Authorized Official - Middle Name:MAHDI
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-301-2364
Mailing Address - Street 1:1650 ZANKER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1133
Mailing Address - Country:US
Mailing Address - Phone:408-310-2364
Mailing Address - Fax:408-904-5678
Practice Address - Street 1:1650 ZANKER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1133
Practice Address - Country:US
Practice Address - Phone:408-310-2364
Practice Address - Fax:408-904-5678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CA2011103101064251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health