Provider Demographics
NPI:1891233011
Name:NEW COMFORT BY NATASHA CANAL, INC.
Entity Type:Organization
Organization Name:NEW COMFORT BY NATASHA CANAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-531-5570
Mailing Address - Street 1:14512 N NEBRASKA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1429
Mailing Address - Country:US
Mailing Address - Phone:813-769-9707
Mailing Address - Fax:813-915-5887
Practice Address - Street 1:14512 N NEBRASKA AVE STE 102
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1429
Practice Address - Country:US
Practice Address - Phone:813-769-9707
Practice Address - Fax:813-915-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health