Healthcare Provider Details

I. General information

NPI: 1164041604
Provider Name (Legal Business Name): COMFORT SHIELD HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RUTHERS RD STE 102
NORTH CHESTERFIELD VA
23235-5395
US

IV. Provider business mailing address

221 RUTHERS RD STE 102
NORTH CHESTERFIELD VA
23235-5395
US

V. Phone/Fax

Practice location:
  • Phone: 804-404-3118
  • Fax:
Mailing address:
  • Phone: 804-404-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: SHARONDA C. BOYD
Title or Position: CEO
Credential:
Phone: 804-240-2277