Healthcare Provider Details

I. General information

NPI: 1194646240
Provider Name (Legal Business Name): YUSRAS COMFORT LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BLISSFUL AVE APT 313
MADISON WI
53718-9282
US

IV. Provider business mailing address

5801 BLISSFUL AVE APT 313
MADISON WI
53718-9282
US

V. Phone/Fax

Practice location:
  • Phone: 608-843-0777
  • Fax:
Mailing address:
  • Phone: 608-843-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FATOU JOBE
Title or Position: MANAGING MEMBER
Credential:
Phone: 608-843-0777