Provider Demographics
NPI:1780374926
Name:COMFORTHEALTH LLC
Entity type:Organization
Organization Name:COMFORTHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TSION
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEBRESELLASIE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:703-362-3461
Mailing Address - Street 1:7953 PEBBLE BROOK CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2635
Mailing Address - Country:US
Mailing Address - Phone:703-362-3461
Mailing Address - Fax:
Practice Address - Street 1:6395 LITTLE RIVER TPKE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5003
Practice Address - Country:US
Practice Address - Phone:703-362-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center