Healthcare Provider Details

I. General information

NPI: 1255418000
Provider Name (Legal Business Name): COMFORT HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30555 SOUTHFIELD RD STE 150
SOUTHFIELD MI
48076-7700
US

IV. Provider business mailing address

30555 SOUTHFIELD RD STE 150
SOUTHFIELD MI
48076-7700
US

V. Phone/Fax

Practice location:
  • Phone: 248-905-5295
  • Fax: 248-905-5003
Mailing address:
  • Phone: 248-905-5295
  • Fax: 248-905-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 248-905-5295