Provider Demographics
NPI:1912774142
Name:COMFORT COMANIONSHIP CARE LLC
Entity Type:Organization
Organization Name:COMFORT COMANIONSHIP CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-496-7233
Mailing Address - Street 1:2050 S JOHN RUSSELL CIR APT B
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1017
Mailing Address - Country:US
Mailing Address - Phone:267-216-8278
Mailing Address - Fax:
Practice Address - Street 1:2050 S JOHN RUSSELL CIR APT B
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1017
Practice Address - Country:US
Practice Address - Phone:267-216-8278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health