Provider Demographics
NPI:1457531576
Name:LIVING LIFE HOME CARE, INC.
Entity Type:Organization
Organization Name:LIVING LIFE HOME CARE, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:MYRA
Authorized Official - Last Name:TRAILLE
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:914-734-2616
Mailing Address - Street 1:2127 CROMPOND RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4329
Mailing Address - Country:US
Mailing Address - Phone:914-734-2616
Mailing Address - Fax:914-734-2648
Practice Address - Street 1:2127 CROMPOND RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4329
Practice Address - Country:US
Practice Address - Phone:914-734-2616
Practice Address - Fax:914-734-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1280L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health