Healthcare Provider Details

I. General information

NPI: 1780374926
Provider Name (Legal Business Name): COMFORTHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S WHITING ST STE 104
ALEXANDRIA VA
22304-3416
US

IV. Provider business mailing address

101 S WHITING ST STE 104
ALEXANDRIA VA
22304-3416
US

V. Phone/Fax

Practice location:
  • Phone: 703-574-8880
  • Fax: 703-754-7145
Mailing address:
  • Phone: 703-574-8880
  • Fax: 703-754-7145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TSION A GEBRESELLASIE
Title or Position: FAMILY NURSE PRACTITIONER
Credential: DNP
Phone: 703-574-8880