Healthcare Provider Details

I. General information

NPI: 1619978269
Provider Name (Legal Business Name): COMFORT HOME HEALTH CARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2746 SUPERIOR DR NW SUITE 200
ROCHESTER MN
55901-8343
US

IV. Provider business mailing address

2746 SUPERIOR DR NW SUITE 200
ROCHESTER MN
55901-8343
US

V. Phone/Fax

Practice location:
  • Phone: 507-281-2332
  • Fax: 507-281-2632
Mailing address:
  • Phone: 507-281-2332
  • Fax: 507-281-2632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberHFID-21496
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02238
License Number StateMN

VIII. Authorized Official

Name: MR. CHRISTOPHER J BLUM
Title or Position: CEO
Credential:
Phone: 507-281-2332