=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235999707
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING COMFORT SERVICES LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2024
-----------------------------------------------------
Last Update Date | 03/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4801 SHORE DR STE G
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23455-2732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 175-741-2989
-----------------------------------------------------
Fax | 757-460-2011
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2110 MARINA SHORES DR APT 124
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23451-6850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-412-9897
-----------------------------------------------------
Fax | 757-460-2011
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. POSIE ROMERO JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-412-9897
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------