Healthcare Provider Details

I. General information

NPI: 1508692518
Provider Name (Legal Business Name): COMFORT TOTAL HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 FLATWOOD DR
KATY TX
77449-7518
US

IV. Provider business mailing address

16911 MIDNIGHT SUN LN
RICHMOND TX
77407-2591
US

V. Phone/Fax

Practice location:
  • Phone: 804-502-1926
  • Fax:
Mailing address:
  • Phone: 804-502-1926
  • Fax:

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CHIBUNDO O MARCHIE
Title or Position: ADMINISTRATOR
Credential:
Phone: 804-502-1926