Healthcare Provider Details

I. General information

NPI: 1891625224
Provider Name (Legal Business Name): COMFORT NEST HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 HALIDAY ST
CLARK NJ
07066-1833
US

IV. Provider business mailing address

26 HALIDAY ST
CLARK NJ
07066-1833
US

V. Phone/Fax

Practice location:
  • Phone: 201-486-5795
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: AMY BANAGA
Title or Position: CEO
Credential:
Phone: 201-486-5795