Provider Demographics
NPI:1811451602
Name:COMFORTS AT HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:COMFORTS AT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-291-5504
Mailing Address - Street 1:3055 OLD HIGHWAY 8 STE 108B
Mailing Address - Street 2:
Mailing Address - City:SAINT ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2595
Mailing Address - Country:US
Mailing Address - Phone:651-505-2019
Mailing Address - Fax:
Practice Address - Street 1:3055 OLD HIGHWAY 8 STE 108B
Practice Address - Street 2:
Practice Address - City:SAINT ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2595
Practice Address - Country:US
Practice Address - Phone:651-505-2019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health