Provider Demographics
NPI:1942461694
Name:COMFORT HEALTHCARE INC
Entity Type:Organization
Organization Name:COMFORT HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OGBONNAYA
Authorized Official - Middle Name:UDE
Authorized Official - Last Name:ANYANSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-291-6596
Mailing Address - Street 1:PO BOX 58218
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27658-8218
Mailing Address - Country:US
Mailing Address - Phone:919-291-6596
Mailing Address - Fax:252-456-0039
Practice Address - Street 1:102 WALKER AVENUE
Practice Address - Street 2:
Practice Address - City:NORLINA
Practice Address - State:NC
Practice Address - Zip Code:27563-9292
Practice Address - Country:US
Practice Address - Phone:252-456-0038
Practice Address - Fax:252-456-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2964251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6601769Medicaid