Healthcare Provider Details

I. General information

NPI: 1407579345
Provider Name (Legal Business Name): COMFORT & DIGNITY HOME HEATHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 09/26/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 WINDSOR PARK DR
DAYTON OH
45459-4112
US

IV. Provider business mailing address

537 WINDSOR PARK DR LOWR LEVEL
DAYTON OH
45459-4112
US

V. Phone/Fax

Practice location:
  • Phone: 513-433-9117
  • Fax:
Mailing address:
  • Phone: 513-433-9117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: DOMINIQUE A PAYTON
Title or Position: CEO
Credential:
Phone: 513-433-9117