Provider Demographics
NPI:1255125803
Name:COMFORT AT HOME
Entity type:Organization
Organization Name:COMFORT AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MOAYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:JABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-628-2411
Mailing Address - Street 1:11000 CENTRAL AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2435
Mailing Address - Country:US
Mailing Address - Phone:708-890-8717
Mailing Address - Fax:
Practice Address - Street 1:8837 RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-1002
Practice Address - Country:US
Practice Address - Phone:708-628-2411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health