Healthcare Provider Details

I. General information

NPI: 1942018510
Provider Name (Legal Business Name): COMFORTING CONNECTIONS RESIDENTIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 03/08/2025
Certification Date: 03/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4488 BROOKS RD
CLEVELAND OH
44105-6051
US

IV. Provider business mailing address

4488 BROOKS RD
CLEVELAND OH
44105-6051
US

V. Phone/Fax

Practice location:
  • Phone: 330-808-4221
  • Fax:
Mailing address:
  • Phone: 330-808-4221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MIKAYLA GAITER
Title or Position: CEO
Credential:
Phone: 330-808-4221