Provider Demographics
NPI:1205311495
Name:COMFORT ANGELS HOME CARE
Entity type:Organization
Organization Name:COMFORT ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LECHUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-691-8489
Mailing Address - Street 1:1609 BOB MURPHY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936
Mailing Address - Country:US
Mailing Address - Phone:415-691-8489
Mailing Address - Fax:915-232-9844
Practice Address - Street 1:1609 BOB MURPHY DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936
Practice Address - Country:US
Practice Address - Phone:415-691-8489
Practice Address - Fax:915-232-9844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty