Provider Demographics
NPI:1356800940
Name:MCDERMOTT'S COMFORT CARE PLUS, LLC
Entity type:Organization
Organization Name:MCDERMOTT'S COMFORT CARE PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:810-348-2199
Mailing Address - Street 1:16310 SILVER LANDINGS
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9184
Mailing Address - Country:US
Mailing Address - Phone:810-348-2199
Mailing Address - Fax:
Practice Address - Street 1:1230 S LINDEN RD STE 4
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3424
Practice Address - Country:US
Practice Address - Phone:810-732-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty