Healthcare Provider Details

I. General information

NPI: 1043124571
Provider Name (Legal Business Name): COMFORT COVE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 ZEIGLER BLVD
MOBILE AL
36608-4336
US

IV. Provider business mailing address

1415 PENNY LAKES DR
SEMMES AL
36575-7639
US

V. Phone/Fax

Practice location:
  • Phone: 251-518-9834
  • Fax: 251-257-2973
Mailing address:
  • Phone: 251-518-9834
  • Fax: 251-257-2973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MISS SHRONDA ROBERTS
Title or Position: OWNER
Credential:
Phone: 251-518-9834