Provider Demographics
NPI:1982163572
Name:COMFORT CARE SERVICES
Entity Type:Organization
Organization Name:COMFORT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOSEBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-525-0451
Mailing Address - Street 1:1610 WENTWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-6125
Mailing Address - Country:US
Mailing Address - Phone:443-525-0451
Mailing Address - Fax:
Practice Address - Street 1:1045 TAYLOR AVE STE 106B
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8330
Practice Address - Country:US
Practice Address - Phone:443-525-0451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care