Healthcare Provider Details

I. General information

NPI: 1780377218
Provider Name (Legal Business Name): COMFORTING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 INDEPENDENCE DR STE 7-918
HYANNIS MA
02601-1898
US

IV. Provider business mailing address

100 INDEPENDENCE DR STE 7-918
HYANNIS MA
02601-1898
US

V. Phone/Fax

Practice location:
  • Phone: 857-559-3800
  • Fax: 857-557-6271
Mailing address:
  • Phone: 857-559-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: GRACE MUTOONI
Title or Position: MANAGER
Credential:
Phone: 857-559-3800