Healthcare Provider Details

I. General information

NPI: 1770164436
Provider Name (Legal Business Name): COMFORTING HEARTS HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 KING OF PRUSSIA RD
WAYNE PA
19087-5147
US

IV. Provider business mailing address

2625 W OXFORD ST
PHILADELPHIA PA
19121-2843
US

V. Phone/Fax

Practice location:
  • Phone: 610-316-3883
  • Fax:
Mailing address:
  • Phone: 610-316-3883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NADIYAH DIXON
Title or Position: CEO
Credential:
Phone: 610-316-3883