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General NPI Number Information
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NPI Number | 1619978269
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Entity Type | Organization
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Legal Business Name | COMFORT HOME HEALTH CARE GROUP, INC.
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 2746 SUPERIOR DR NW SUITE 200
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City | ROCHESTER
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State | MN
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Zip | 55901-8343
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Country | US
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Telephone | 507-281-2332
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Fax | 507-281-2632
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Provider Business Mailing Address
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Address Line | 2746 SUPERIOR DR NW SUITE 200
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City | ROCHESTER
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State | MN
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Zip | 55901-8343
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Country | US
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Telephone | 507-281-2332
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Fax | 507-281-2632
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER J BLUM
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Credential |
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Telephone | 507-281-2332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | HFID-21496
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 02238
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License Number State | MN
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