MEDICARE: CARDINAL COMFORT CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	X001229194	MO

General Provider Information

NPI Number	:	1457802092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDINAL COMFORT CARE, LLC

Provider Business Mailing Address
First Line	:	1508 NW VIVION RD
Second Line	:	SUITE 332
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4557
Country	:	US
Telephone Number	:	816-745-6477
Fax Number	:	816-873-1134

Provider Business Practice Location Address
First Line	:	1508 NW VIVION RD
Second Line	:	SUITE 332
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4557
Country	:	US
Telephone Number	:	816-745-6477
Fax Number	:	816-873-1134

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. JOHNETTA YEARGANS
Credential	:	LPN
Telephone Number	:	816-745-6477

Provider Enumeration Date	:	10/19/2016
Last Update Date	:	11/12/2025

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