Healthcare Provider Details

I. General information

NPI: 1669395612
Provider Name (Legal Business Name): COMFORT R.N. HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 E 163RD ST
BRONX NY
10451-3250
US

IV. Provider business mailing address

185 E 163RD ST
BRONX NY
10451-3250
US

V. Phone/Fax

Practice location:
  • Phone: 646-266-9213
  • Fax:
Mailing address:
  • Phone: 646-266-9213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMON DANIEL STARK
Title or Position: OWNER
Credential: REGISTERED NURSE
Phone: 646-266-9213