Healthcare Provider Details

I. General information

NPI: 1356706204
Provider Name (Legal Business Name): COMFORTCARE HOMEHEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2015
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 HIGHWAY 6 S SUITE A
HOUSTON TX
77077-5249
US

IV. Provider business mailing address

2305 HIGHWAY 6 S SUITE A
HOUSTON TX
77077-5249
US

V. Phone/Fax

Practice location:
  • Phone: 832-486-9642
  • Fax: 832-486-9732
Mailing address:
  • Phone: 832-486-9642
  • Fax: 832-486-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: KAMRUL ALAM
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-486-9642