Healthcare Provider Details

I. General information

NPI: 1871078550
Provider Name (Legal Business Name): CARE & COMFORT DOCS CLINICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 08/07/2023
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 ELM ST STE 2
NORTH ATTLEBORO MA
02760-3314
US

IV. Provider business mailing address

380 ELM ST STE 2
NORTH ATTLEBORO MA
02760-3314
US

V. Phone/Fax

Practice location:
  • Phone: 774-643-6261
  • Fax:
Mailing address:
  • Phone: 774-643-6261
  • Fax: 774-643-6358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1000X
TaxonomyMigrant Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JASPER NGOMBA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 774-643-6261