Healthcare Provider Details

I. General information

NPI: 1376480251
Provider Name (Legal Business Name): COMFORT LIFE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 RICHMOND RD
BEACHWOOD OH
44122-2332
US

IV. Provider business mailing address

2560 N MORELAND BLVD
CLEVELAND OH
44120-1376
US

V. Phone/Fax

Practice location:
  • Phone: 216-576-4475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: AMBER WILSON
Title or Position: OWNER
Credential:
Phone: 216-576-4476