Provider Demographics
NPI:1780026815
Name:COMFORTHOME PRIVATE CARE
Entity Type:Organization
Organization Name:COMFORTHOME PRIVATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RENACIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-960-3300
Mailing Address - Street 1:3501 ALGONQUIN RD STE 560
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3103
Mailing Address - Country:US
Mailing Address - Phone:847-960-3300
Mailing Address - Fax:773-654-5014
Practice Address - Street 1:3501 ALGONQUIN RD STE 560
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3103
Practice Address - Country:US
Practice Address - Phone:847-960-3300
Practice Address - Fax:773-654-5014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care