Provider Demographics
NPI:1265229546
Name:COMFORT YOUR WAY
Entity type:Organization
Organization Name:COMFORT YOUR WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEANDRA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:708-994-4341
Mailing Address - Street 1:300 CATON FARM RD TRLR 95
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3919
Mailing Address - Country:US
Mailing Address - Phone:708-994-4341
Mailing Address - Fax:708-994-4341
Practice Address - Street 1:300 CATON FARM RD TRLR 95
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3919
Practice Address - Country:US
Practice Address - Phone:708-994-4341
Practice Address - Fax:708-994-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health