Provider Demographics
NPI:1255036695
Name:CONFORTCARE LLC
Entity type:Organization
Organization Name:CONFORTCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRABIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRADHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-417-4480
Mailing Address - Street 1:159 NORTHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-3063
Mailing Address - Country:US
Mailing Address - Phone:234-417-4480
Mailing Address - Fax:330-237-8083
Practice Address - Street 1:159 NORTHWOOD LN
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-3063
Practice Address - Country:US
Practice Address - Phone:234-417-4480
Practice Address - Fax:330-237-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health