Healthcare Provider Details
I. General information
NPI: 1699270736
Provider Name (Legal Business Name): COMFORT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2018
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45 DAN RD STE 125
CANTON MA
02021-2852
US
IV. Provider business mailing address
45 DAN RD STE 125
CANTON MA
02021-2852
US
V. Phone/Fax
- Phone: 617-212-0505
- Fax:
- Phone: 617-212-0505
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253J00000X |
| Taxonomy | Foster Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
VALENTINE
E
EKE
Title or Position: PRESIDENT
Credential:
Phone: 617-212-0505