MEDICARE: COMFORT ZONE HOUSING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1184479404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT ZONE HOUSING LLC

Provider Business Mailing Address
First Line	:	2696 E 127TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1426
Country	:	US
Telephone Number	:	216-415-4171
Fax Number	:

Provider Business Practice Location Address
First Line	:	2696 E 127TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1426
Country	:	US
Telephone Number	:	216-415-4171
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHARNE KING
Credential	:
Telephone Number	:	216-415-4171

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	04/19/2024

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