MEDICARE: COMFORT RESIDENTIAL CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376J00000X	Homemaker
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780547695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT RESIDENTIAL CARE LLC

Provider Business Mailing Address
First Line	:	8179 ROYAL ELM DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-5054
Country	:	US
Telephone Number	:	614-815-0429
Fax Number	:

Provider Business Practice Location Address
First Line	:	8179 ROYAL ELM DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-5054
Country	:	US
Telephone Number	:	614-815-0429
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	FARAH ISSA GURE
Credential	:
Telephone Number	:	614-815-0429

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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