Healthcare Provider Details

I. General information

NPI: 1588527121
Provider Name (Legal Business Name): COMFORT DIRECT LIFE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11427 REED HARTMAN HWY
BLUE ASH OH
45241-2418
US

IV. Provider business mailing address

PO BOX 19475
CINCINNATI OH
45219-0475
US

V. Phone/Fax

Practice location:
  • Phone: 513-328-9632
  • Fax:
Mailing address:
  • Phone: 513-328-9632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHAUNDREL LEGGETT
Title or Position: DIRECTOR
Credential:
Phone: 513-328-9632