Healthcare Provider Details

I. General information

NPI: 1760067722
Provider Name (Legal Business Name): COMFORT ZONE HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5209 YORK RD STE M32
BALTIMORE MD
21212-4225
US

IV. Provider business mailing address

8641 LOCH RAVEN BLVD STE 2AAND2B
TOWSON MD
21286-2310
US

V. Phone/Fax

Practice location:
  • Phone: 443-653-6186
  • Fax:
Mailing address:
  • Phone: 443-653-6186
  • Fax: 410-558-6879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FOLASHADE MUJIDAT DIPE
Title or Position: CEO
Credential:
Phone: 443-983-6590