Provider Demographics
NPI:1780344739
Name:C & M COMFORT HOME LLC
Entity type:Organization
Organization Name:C & M COMFORT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISITAN
Authorized Official - Middle Name:NDUKA
Authorized Official - Last Name:COURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-378-5820
Mailing Address - Street 1:24662 MANTEE PL
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-3886
Mailing Address - Country:US
Mailing Address - Phone:951-378-5820
Mailing Address - Fax:951-378-5820
Practice Address - Street 1:24662 MANTEE PL
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3886
Practice Address - Country:US
Practice Address - Phone:951-378-5820
Practice Address - Fax:951-378-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home