Healthcare Provider Details

I. General information

NPI: 1275440737
Provider Name (Legal Business Name): COMFORT LONGEVITY KINDER L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 NW 202ND ST
MIAMI GARDENS FL
33055-1432
US

IV. Provider business mailing address

PO BOX 451381
SUNRISE FL
33345-1381
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-6564
  • Fax:
Mailing address:
  • Phone: 786-285-6564
  • 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: LANE KENDRICK
Title or Position: OWNER
Credential: MR
Phone: 786-285-6564