Healthcare Provider Details

I. General information

NPI: 1255059101
Provider Name (Legal Business Name): COMFORTABLE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 CORPORATE DR STE 104
LEXINGTON KY
40503-5417
US

IV. Provider business mailing address

870 CORPORATE DR STE 104
LEXINGTON KY
40503-5417
US

V. Phone/Fax

Practice location:
  • Phone: 859-300-9760
  • Fax:
Mailing address:
  • Phone: 859-785-1441
  • Fax: 859-785-0302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDON FORD SR.
Title or Position: OWNER
Credential:
Phone: 859-300-9760