Healthcare Provider Details

I. General information

NPI: 1437601259
Provider Name (Legal Business Name): COMFORT STARS HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 MAIN ST STE 352
WORCESTER MA
01608-1604
US

IV. Provider business mailing address

340 MAIN ST STE 352
WORCESTER MA
01608-1604
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-0189
  • Fax: 508-755-5834
Mailing address:
  • Phone: 508-755-0189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FORENCE W NJOROGE
Title or Position: MEMBER
Credential:
Phone: 508-755-0189