Healthcare Provider Details

I. General information

NPI: 1275331662
Provider Name (Legal Business Name): AFFORDABLE COMFORT HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 SHANNON RD STE 307
DURHAM NC
27707-6330
US

IV. Provider business mailing address

2705 RAMBLEGATE LN
DURHAM NC
27705-6706
US

V. Phone/Fax

Practice location:
  • Phone: 919-928-3832
  • Fax:
Mailing address:
  • Phone: 919-928-3832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA LANE
Title or Position: OFFICE MANAGE
Credential:
Phone: 919-599-0378