Provider Demographics
NPI:1831335231
Name:COMFORT HEALTHCARE THERAPY LLC
Entity type:Organization
Organization Name:COMFORT HEALTHCARE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IFEYINWA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NZEREM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-748-4032
Mailing Address - Street 1:714 W 53RD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-1514
Mailing Address - Country:US
Mailing Address - Phone:317-748-4032
Mailing Address - Fax:
Practice Address - Street 1:714 W 53RD ST
Practice Address - Street 2:SUITE A
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-1514
Practice Address - Country:US
Practice Address - Phone:765-683-0633
Practice Address - Fax:765-683-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty