Healthcare Provider Details

I. General information

NPI: 1912991936
Provider Name (Legal Business Name): COMFORT HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3974 TAMPA RD STE D
OLDSMAR FL
34677-3228
US

IV. Provider business mailing address

3974 TAMPA RD STE D
OLDSMAR FL
34677-3228
US

V. Phone/Fax

Practice location:
  • Phone: 727-682-0053
  • Fax: 727-935-4844
Mailing address:
  • Phone: 727-682-0053
  • Fax: 727-935-4844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA22000096
License Number StateFL

VIII. Authorized Official

Name: FIROZ KHAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 727-682-0053