MEDICARE: HOMECARE COMFORTABLE SOLUTIONS

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	253Z00000X	In Home Supportive Care Agency	109002357	TN

General Provider Information

NPI Number	:	1124262183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE COMFORTABLE SOLUTIONS

Provider Business Mailing Address
First Line	:	3633 CHESTERWOOD DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38118-6436
Country	:	US
Telephone Number	:	901-603-7327
Fax Number	:

Provider Business Practice Location Address
First Line	:	3633 CHESTERWOOD DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38118-6436
Country	:	US
Telephone Number	:	901-603-7327
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CAREGIVER
Name	:	MS. VENZUAY NANNETTE DAVIS
Credential	:
Telephone Number	:	901-603-7327

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	04/21/2009

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Directions to “HOMECARE COMFORTABLE SOLUTIONS ” Practice Location

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