Healthcare Provider Details

I. General information

NPI: 1104760149
Provider Name (Legal Business Name): COMFORTER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 E MINER DR
SAN TAN VALLEY AZ
85143-1682
US

IV. Provider business mailing address

3116 E MINER DR
SAN TAN VALLEY AZ
85143-1682
US

V. Phone/Fax

Practice location:
  • Phone: 480-334-6467
  • Fax:
Mailing address:
  • Phone: 480-334-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BABATUNDE OMOTINUGBON
Title or Position: CEO
Credential:
Phone: 480-334-6467