Provider Demographics
NPI:1457057325
Name:COMFORT AT HEART HOME CARE LLC
Entity Type:Organization
Organization Name:COMFORT AT HEART HOME CARE LLC
Other - Org Name:COMFORT AT HEART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-676-2517
Mailing Address - Street 1:80 ORVILLE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2505
Mailing Address - Country:US
Mailing Address - Phone:800-676-2517
Mailing Address - Fax:917-779-9077
Practice Address - Street 1:20 BABYLON ST
Practice Address - Street 2:
Practice Address - City:ISLIP TERRACE
Practice Address - State:NY
Practice Address - Zip Code:11752-1002
Practice Address - Country:US
Practice Address - Phone:631-264-9388
Practice Address - Fax:408-689-6310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty