Healthcare Provider Details

I. General information

NPI: 1285128199
Provider Name (Legal Business Name): COMFORT OF HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 N SEWARDS CT
ABERDEEN MD
21001-3955
US

IV. Provider business mailing address

1328 N SEWARDS CT
ABERDEEN MD
21001-3955
US

V. Phone/Fax

Practice location:
  • Phone: 410-925-1262
  • Fax:
Mailing address:
  • Phone: 410-925-1262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAULITA TERESA ROBINSON
Title or Position: OWNER
Credential:
Phone: 410-925-1262