NPI Code Details Logo

NPI 1932790425

NPI 1932790425 : KOMFORT KARE & HEALTH SERVICES : CHESTER, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1932790425
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KOMFORT KARE & HEALTH SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/28/2021
-----------------------------------------------------
    Last Update Date     |    01/29/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    110 TEAL CT 
-----------------------------------------------------
    City                 |    CHESTER
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21619-2260
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-867-6399
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    110 TEAL CT 
-----------------------------------------------------
    City                 |    CHESTER
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21619-2260
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-867-6399
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     KRYSTAL MARIE PEREZ 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    202-867-6399
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.