Healthcare Provider Details

I. General information

NPI: 1073170874
Provider Name (Legal Business Name): HEALINGCOMFORT HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12687 MT ANTERO DR
PEYTON CO
80831-3823
US

IV. Provider business mailing address

12687 MT ANTERO DR
PEYTON CO
80831-3823
US

V. Phone/Fax

Practice location:
  • Phone: 719-822-8484
  • Fax: 719-494-2088
Mailing address:
  • Phone: 719-822-8484
  • Fax: 719-494-2088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL AMAY
Title or Position: OWNER
Credential:
Phone: 917-415-5633