Provider Demographics
NPI:1790568665
Name:COMFORTGO LLC
Entity Type:Organization
Organization Name:COMFORTGO LLC
Other - Org Name:COMFORTGO LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:MAHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYEBELASMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-460-7349
Mailing Address - Street 1:922 KING STREET STATION PKWY APT 33003
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5338
Mailing Address - Country:US
Mailing Address - Phone:469-389-7909
Mailing Address - Fax:
Practice Address - Street 1:431 LIMESTONE DR
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-3663
Practice Address - Country:US
Practice Address - Phone:469-389-7909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)