Provider Demographics
NPI:1912991936
Name:COMFORT HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:COMFORT HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:V
Authorized Official - Last Name:READEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-682-0053
Mailing Address - Street 1:3515 PALM HARBOR BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1416
Mailing Address - Country:US
Mailing Address - Phone:727-682-0053
Mailing Address - Fax:727-935-4844
Practice Address - Street 1:3515 PALM HARBOR BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1416
Practice Address - Country:US
Practice Address - Phone:727-682-0053
Practice Address - Fax:727-935-4844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA22000096251E00000X, 251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107685Medicare ID - Type Unspecified