Healthcare Provider Details

I. General information

NPI: 1720762115
Provider Name (Legal Business Name): COMFORTABLE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 CORPORATE DR
LEXINGTON KY
40503-2748
US

IV. Provider business mailing address

881 CORPORATE DR
LEXINGTON KY
40503-2748
US

V. Phone/Fax

Practice location:
  • Phone: 859-300-9760
  • Fax: 869-785-1441
Mailing address:
  • Phone: 859-300-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRANDON FORD
Title or Position: CEO
Credential:
Phone: 859-300-9760