Healthcare Provider Details

I. General information

NPI: 1649544586
Provider Name (Legal Business Name): COMFORT HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 02/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 SULLIVANT AVE SUITE 202
COLUMBUS OH
43228-4327
US

IV. Provider business mailing address

3850 SULLIVANT AVE SUITE 202
COLUMBUS OH
43228-4327
US

V. Phone/Fax

Practice location:
  • Phone: 614-332-4655
  • Fax:
Mailing address:
  • Phone: 614-332-4655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. AYAN OSOBLE
Title or Position: OWNER
Credential:
Phone: 614-556-3249