Provider Demographics
NPI:1396742888
Name:COMFORT CARE MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:COMFORT CARE MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHALMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-519-2113
Mailing Address - Street 1:7801 YORK ROAD
Mailing Address - Street 2:SUITE 336
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7449
Mailing Address - Country:US
Mailing Address - Phone:410-828-0947
Mailing Address - Fax:410-828-8967
Practice Address - Street 1:1105 NORTH POINT BLVD
Practice Address - Street 2:STE 325
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3418
Practice Address - Country:US
Practice Address - Phone:410-282-9660
Practice Address - Fax:410-282-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
MD03326185332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD33624850002Medicaid
MD336248500-02Medicaid
MD53379701OtherCAREFIRST BCBS
F7150001OtherBS FEDERAL
S3379702OtherCAREFIRST BCBS
S3379702OtherCAREFIRST BCBS