Provider Demographics
NPI:1205692829
Name:COMFORT IN WELLNESS
Entity type:Organization
Organization Name:COMFORT IN WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AGENCY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHENIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:312-868-5450
Mailing Address - Street 1:1272 OLD MILL CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8981
Mailing Address - Country:US
Mailing Address - Phone:312-868-5450
Mailing Address - Fax:
Practice Address - Street 1:1136 S DELANO CT W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3740
Practice Address - Country:US
Practice Address - Phone:312-868-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty