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General NPI Number Information
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NPI Number | 1699659458
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Entity Type | Organization
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Legal Business Name | COMFORT CARE HOME HEALTH
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3309 44TH ST
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City | KENOSHA
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State | WI
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Zip | 53144-5642
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Country | US
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Telephone | 262-305-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 44TH ST
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City | KENOSHA
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State | WI
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Zip | 53144-5642
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Country | US
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Telephone | 262-305-3786
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANEQUA P COLLINS
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Credential |
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Telephone | 262-305-3786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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