Healthcare Provider Details

I. General information

NPI: 1689432403
Provider Name (Legal Business Name): COMFORT AND JOY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 N TROY ST APT 775
ARLINGTON VA
22201-3275
US

IV. Provider business mailing address

1724 N TROY ST APT 775
ARLINGTON VA
22201-3275
US

V. Phone/Fax

Practice location:
  • Phone: 571-225-2091
  • Fax:
Mailing address:
  • Phone: 571-225-2091
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. EFREM KIFLE
Title or Position: OWNER
Credential:
Phone: 571-225-2091