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General NPI Number Information
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NPI Number | 1467698019
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Entity Type | Organization
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Legal Business Name | COMFORT CARE IN HOME SERVICES INC.
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3522 STATE HIGHWAY 177
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-9686
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Country | US
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Telephone | 573-335-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 3522 STATE HIGHWAY 177
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-9686
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Country | US
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Telephone | 573-335-0986
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Fax | 573-339-0112
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LESLIE P. SADLER
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Credential |
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Telephone | 573-335-0986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 0009798
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2000166148
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 2000166148
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 009798
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2000166148
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License Number State | MO
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