Provider Demographics
NPI:1811602816
Name:YOUR LIFE COMFORT HOME CARE LLC
Entity type:Organization
Organization Name:YOUR LIFE COMFORT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELITA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:COTTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-601-6084
Mailing Address - Street 1:456 VISTA GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2366
Mailing Address - Country:US
Mailing Address - Phone:513-601-6084
Mailing Address - Fax:513-407-8163
Practice Address - Street 1:424 RAY NORRISH DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1520
Practice Address - Country:US
Practice Address - Phone:513-429-3296
Practice Address - Fax:513-407-8163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker