MEDICARE: COMFORT HOME HEALTH CARE GROUP, INC.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	HFID-21496	MN
2	251E00000X	Home Health Agency	02238	MN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8354CO	OTHER	MN	BLUE CROSS BLUE SHIELD PR
3	173586	OTHER	MN	U CARE PROVIDER NUMBER
4	5900245	OTHER	MN	MEDICA PROVIDER NUMBER

NPI Number	:	1619978269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HOME HEALTH CARE GROUP, INC.

Provider Business Mailing Address
First Line	:	2746 SUPERIOR DR NW
Second Line	:	SUITE 200
City	:	ROCHESTER
State	:	MN
Zip	:	55901-8343
Country	:	US
Telephone Number	:	507-281-2332
Fax Number	:	507-281-2632

Provider Business Practice Location Address
First Line	:	2746 SUPERIOR DR NW
Second Line	:	SUITE 200
City	:	ROCHESTER
State	:	MN
Zip	:	55901-8343
Country	:	US
Telephone Number	:	507-281-2332
Fax Number	:	507-281-2632

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTOPHER J BLUM
Credential	:
Telephone Number	:	507-281-2332

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	04/17/2017

2746 SUPERIOR DR NW , SUITE 370
ROCHESTER, MN
55901-8343

Practice Phone: 507-289-7768
Practice Fax:

2746 SUPERIOR DR NW , SUITE 100
ROCHESTER, MN
55901-8343