Provider Demographics
NPI:1962633560
Name:EDINBURGH ENTERPRISES, LLC
Entity Type:Organization
Organization Name:EDINBURGH ENTERPRISES, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:IKIRT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:937-432-6475
Mailing Address - Street 1:7086 CORPORATE WAY
Mailing Address - Street 2:STE. # 102
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4294
Mailing Address - Country:US
Mailing Address - Phone:937-432-6475
Mailing Address - Fax:937-432-6916
Practice Address - Street 1:7086 CORPORATE WAY
Practice Address - Street 2:STE. # 102
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4294
Practice Address - Country:US
Practice Address - Phone:937-432-6475
Practice Address - Fax:937-432-6916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health