MEDICARE: J&G COMFORTCARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821814336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&G COMFORTCARE LLC

Provider Business Mailing Address
First Line	:	2902 E FILLMORE ST APT 142
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-6170
Country	:	US
Telephone Number	:	602-632-8943
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 W CAMELBACK RD STE 202
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-2105
Country	:	US
Telephone Number	:	602-632-8943
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	GAD SEZIRAHIGA
Credential	:
Telephone Number	:	602-632-8943

Provider Enumeration Date	:	11/29/2024
Last Update Date	:	11/29/2024

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Directions to “J&G COMFORTCARE LLC ” Practice Location

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