Provider Demographics
NPI:1811012693
Name:COMFORT HOME CARE, INC.
Entity Type:Organization
Organization Name:COMFORT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-355-8350
Mailing Address - Street 1:826 BUSTLETON PIKE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6064
Mailing Address - Country:US
Mailing Address - Phone:215-355-8350
Mailing Address - Fax:215-355-8650
Practice Address - Street 1:826 BUSTLETON PIKE
Practice Address - Street 2:SUITE 104
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6064
Practice Address - Country:US
Practice Address - Phone:215-355-8350
Practice Address - Fax:215-355-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77540501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018606330002Medicaid
PA0018606330002Medicaid