Healthcare Provider Details

I. General information

NPI: 1720992712
Provider Name (Legal Business Name): COMFORTCARE HEALTH & HOUSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RUTHERS RD STE 201
NORTH CHESTERFIELD VA
23235-5395
US

IV. Provider business mailing address

221 RUTHERS RD STE 201
NORTH CHESTERFIELD VA
23235-5395
US

V. Phone/Fax

Practice location:
  • Phone: 804-441-9336
  • Fax:
Mailing address:
  • Phone: 804-441-9336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASMINE BOOKER
Title or Position: CEO
Credential:
Phone: 804-441-9336