Healthcare Provider Details

I. General information

NPI: 1962252049
Provider Name (Legal Business Name): XTRA COMFORT HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/25/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3922 LIRIOPE ST
CANAL WINCHESTER OH
43110-8076
US

IV. Provider business mailing address

3922 LIRIOPE ST
CANAL WINCHESTER OH
43110-8076
US

V. Phone/Fax

Practice location:
  • Phone: 918-851-9297
  • Fax:
Mailing address:
  • Phone: 918-851-9297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AIMEE FINJAP
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 918-851-9297