=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740629286
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMFORT LIVING INVESTMENTS INC.,
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2013
-----------------------------------------------------
Last Update Date | 06/18/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8860 COLUMBIA 100 PKWY SUITE #304
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21045-2195
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-315-4020
-----------------------------------------------------
Fax | 443-315-4021
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8860 COLUMBIA 100 PKWY SUITE #304
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21045-2195
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-315-4020
-----------------------------------------------------
Fax | 443-315-4021
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JAMES SANG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-315-4020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | R3468P
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------