Healthcare Provider Details

I. General information

NPI: 1730326505
Provider Name (Legal Business Name): ALLIED COMFORT N' CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19109 W CATAWBA AVE STE 200
CORNELIUS NC
28031-5614
US

IV. Provider business mailing address

2516 N 19TH ST
PHILA PA
19132-3801
US

V. Phone/Fax

Practice location:
  • Phone: 267-600-5697
  • Fax:
Mailing address:
  • Phone: 267-600-5697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TRACEY PARSON
Title or Position: CEO
Credential: LPN
Phone: 267-600-5697