Provider Demographics
NPI:1396542486
Name:COMFORT SQUAD HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:COMFORT SQUAD HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAGILAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-643-0280
Mailing Address - Street 1:3600 S STATE ROAD 7 STE 322
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5290
Mailing Address - Country:US
Mailing Address - Phone:954-643-0280
Mailing Address - Fax:
Practice Address - Street 1:3600 S STATE ROAD 7 STE 322
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5290
Practice Address - Country:US
Practice Address - Phone:954-643-0280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health