Healthcare Provider Details

I. General information

NPI: 1164128831
Provider Name (Legal Business Name): CARE FOR LIFE INC DBA COMFORT CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7390 WINCHESTER ST
ANCHORAGE AK
99507-2856
US

IV. Provider business mailing address

7390 WINCHESTER ST
ANCHORAGE AK
99507-2856
US

V. Phone/Fax

Practice location:
  • Phone: 907-830-3772
  • Fax: 907-332-1414
Mailing address:
  • Phone: 907-830-3772
  • Fax: 907-332-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JIM J KIM
Title or Position: PRESIDENT
Credential:
Phone: 907-830-3772