Healthcare Provider Details

I. General information

NPI: 1679269708
Provider Name (Legal Business Name): COMFORT N YOUR HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 PORTSMOUTH BLVD STE 210A
CHESAPEAKE VA
23321-2152
US

IV. Provider business mailing address

4425 PORTSMOUTH BLVD STE 210A
CHESAPEAKE VA
23321-2152
US

V. Phone/Fax

Practice location:
  • Phone: 757-228-6003
  • Fax:
Mailing address:
  • Phone: 757-228-6003
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TANISHA BAILEY
Title or Position: CEO
Credential: RN
Phone: 757-228-6003