Healthcare Provider Details

I. General information

NPI: 1528069523
Provider Name (Legal Business Name): COMFORT CARE HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19751 EAST MAINSTREET SUITE 333
PARKER CO
80138
US

IV. Provider business mailing address

19751 EAST MAINSTREET SUITE 333
PARKER CO
80138
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-7797
  • Fax: 303-399-7793
Mailing address:
  • Phone: 303-399-7797
  • Fax: 303-399-7793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0404F5
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number0404F5
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. DAWN MARIE VILLALVA
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 303-399-7797