Healthcare Provider Details

I. General information

NPI: 1194654004
Provider Name (Legal Business Name): COMFORTING HOME HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N STATE ST # 1521
CHICAGO IL
60602-3302
US

IV. Provider business mailing address

10019 S PARNELL AVE
CHICAGO IL
60628-1835
US

V. Phone/Fax

Practice location:
  • Phone: 312-896-8203
  • Fax: 312-585-8355
Mailing address:
  • Phone: 312-752-3492
  • Fax: 312-585-8355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. SHAYLA EDWARDS
Title or Position: ADMINISTRATOR
Credential:
Phone: 872-484-2233