Provider Demographics
NPI:1518405695
Name:COMFORT CARE HOMES
Entity type:Organization
Organization Name:COMFORT CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATUMO
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:612-806-9455
Mailing Address - Street 1:3040 4TH AVE S STE F
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2409
Mailing Address - Country:US
Mailing Address - Phone:612-806-9455
Mailing Address - Fax:612-545-0914
Practice Address - Street 1:3040 4TH AVE S STE F
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2409
Practice Address - Country:US
Practice Address - Phone:612-806-9455
Practice Address - Fax:612-545-0914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32851251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health