Healthcare Provider Details

I. General information

NPI: 1689671018
Provider Name (Legal Business Name): COMFORT CARE MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 FREDERICK ROAD SUITE 158A
CATONSVILLE MD
21228-4633
US

IV. Provider business mailing address

7801 YORK ROAD SUITE 336
TOWSON MD
21204-7449
US

V. Phone/Fax

Practice location:
  • Phone: 410-788-1881
  • Fax: 410-788-1882
Mailing address:
  • Phone: 410-828-0947
  • Fax: 410-828-8967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number03326185
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK LEE CHALMERS
Title or Position: PRESIDENT
Credential:
Phone: 443-519-2113