Healthcare Provider Details

I. General information

NPI: 1558290874
Provider Name (Legal Business Name): COMFORTWAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10600 SPURLOCH CT
GLEN ALLEN VA
23059-8003
US

IV. Provider business mailing address

10600 SPURLOCH CT
GLEN ALLEN VA
23059-8003
US

V. Phone/Fax

Practice location:
  • Phone: 202-779-5030
  • Fax:
Mailing address:
  • Phone: 202-779-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TEMESGEN THOMAS
Title or Position: DIRECTOR
Credential: PRM
Phone: 202-779-5030