MEDICARE: COMCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1053933895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMCARE LLC

Provider Business Mailing Address
First Line	:	2817 ANTHONY LN S STE 105
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-2489
Country	:	US
Telephone Number	:	619-944-0923
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ANTHONY LN S STE 105
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-2489
Country	:	US
Telephone Number	:	612-444-7484
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ALI ARTAN
Credential	:
Telephone Number	:	619-944-0923

Provider Enumeration Date	:	05/14/2020
Last Update Date	:	08/15/2023

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