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General NPI Number Information
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NPI Number | 1093938011
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Entity Type | Organization
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Legal Business Name | COMFORT CARE HOME HEALTH, INC. DBA FAITH HOME HEALTH
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 425 W WILSHIRE BLVD STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7794
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Country | US
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Telephone | 405-767-6221
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Fax | 855-213-1774
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Provider Business Mailing Address
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Address Line | 425 W WILSHIRE BLVD STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7794
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Country | US
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Telephone | 405-767-6221
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Fax | 855-213-1774
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LARRY J COFFMAN SR.
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Credential |
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Telephone | 405-456-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7848
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License Number State | OK
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