Provider Demographics
NPI:1811413867
Name:COMFORT ZONE HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:COMFORT ZONE HEALTH CARE SERVICES LLC
Other - Org Name:COMFORT ZONE HEALTH CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOLASHADE
Authorized Official - Middle Name:MUJIDAT
Authorized Official - Last Name:DIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-983-6590
Mailing Address - Street 1:8641 LOCH RAVEN BLVD STE 2AAND2B
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2310
Mailing Address - Country:US
Mailing Address - Phone:443-983-6590
Mailing Address - Fax:410-929-8990
Practice Address - Street 1:8641 LOCH RAVEN BLVD STE 2AAND2B
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2310
Practice Address - Country:US
Practice Address - Phone:443-983-6590
Practice Address - Fax:410-929-8990
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORT ZONE HEALTH CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-21
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR4106251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5200292200Medicaid