Healthcare Provider Details

I. General information

NPI: 1558274852
Provider Name (Legal Business Name): NEO COMFORT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 ABERDEENE AVE
BOWLING GREEN KY
42104-5461
US

IV. Provider business mailing address

716 ABERDEENE AVE
BOWLING GREEN KY
42104-5461
US

V. Phone/Fax

Practice location:
  • Phone: 260-446-7175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: SARA GAINER-ZAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 260-446-7175