Healthcare Provider Details

I. General information

NPI: 1467698019
Provider Name (Legal Business Name): COMFORT CARE IN HOME SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3522 STATE HIGHWAY 177
CAPE GIRARDEAU MO
63701-9686
US

IV. Provider business mailing address

3522 STATE HIGHWAY 177
CAPE GIRARDEAU MO
63701-9686
US

V. Phone/Fax

Practice location:
  • Phone: 573-335-0986
  • Fax:
Mailing address:
  • Phone: 573-335-0986
  • Fax: 573-339-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number0009798
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number2000166148
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2000166148
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number009798
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2000166148
License Number StateMO

VIII. Authorized Official

Name: LESLIE P. SADLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 573-335-0986