Provider Demographics
NPI:1245305242
Name:COMFORT CARE MEDICARE, INC
Entity type:Organization
Organization Name:COMFORT CARE MEDICARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-294-3527
Mailing Address - Street 1:4027 GLASS RD NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2510
Mailing Address - Country:US
Mailing Address - Phone:319-294-3527
Mailing Address - Fax:
Practice Address - Street 1:4027 GLASS RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2510
Practice Address - Country:US
Practice Address - Phone:319-294-3527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0672675Medicaid
IA67267OtherBCBS-HOME HEALTH AGENCY
IA0672675Medicaid