Healthcare Provider Details

I. General information

NPI: 1851854913
Provider Name (Legal Business Name): COMFORT HOMECARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2019
Last Update Date: 04/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 S MARYLAND PKWY STE 110-A
LAS VEGAS NV
89109-1554
US

IV. Provider business mailing address

2770 S MARYLAND PKWY STE 110-A
LAS VEGAS NV
89109-1554
US

V. Phone/Fax

Practice location:
  • Phone: 702-478-8171
  • Fax: 888-340-3410
Mailing address:
  • Phone: 702-478-8171
  • Fax: 888-340-3410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT W PARKENS
Title or Position: ADMINISTRATOR
Credential:
Phone: 310-800-0423