Healthcare Provider Details

I. General information

NPI: 1740938653
Provider Name (Legal Business Name): COMFORTER HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W ARKANSAS LN STE A
ARLINGTON TX
76013-6376
US

IV. Provider business mailing address

1111 W ARKANSAS LN STE A
ARLINGTON TX
76013-6376
US

V. Phone/Fax

Practice location:
  • Phone: 214-375-0888
  • Fax: 214-375-0887
Mailing address:
  • Phone: 214-375-0888
  • Fax: 214-375-0887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: RACHEAL OLAMIDE MUSTAPHA
Title or Position: CEO
Credential:
Phone: 214-375-0888