Healthcare Provider Details

I. General information

NPI: 1043510886
Provider Name (Legal Business Name): ELDERLY COMFORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N WEST ST SUITE 3
WILMINGTON DE
19801-1565
US

IV. Provider business mailing address

800 N WEST ST
WILMINGTON DE
19801-1565
US

V. Phone/Fax

Practice location:
  • Phone: 302-530-6680
  • Fax:
Mailing address:
  • Phone: 302-530-6680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2010104444
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2010104444
License Number StateDE

VIII. Authorized Official

Name: MRS. TINA S LAROSE
Title or Position: PRESIDENT/FOUNDER
Credential: MBA, MHSA, NHA
Phone: 302-530-6680