MEDICARE: COMFORT COVE SENIOR LIVING

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1295549244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT COVE SENIOR LIVING

Provider Business Mailing Address
First Line	:	PO BOX 604
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48332-0604
Country	:	US
Telephone Number	:	248-640-9305
Fax Number	:

Provider Business Practice Location Address
First Line	:	5859 W MAPLE RD
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2279
Country	:	US
Telephone Number	:	248-640-9305
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NIKHIL MEHROTRA
Credential	:
Telephone Number	:	248-640-9305

Provider Enumeration Date	:	02/01/2025
Last Update Date	:	02/01/2025

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Directions to “COMFORT COVE SENIOR LIVING ” Practice Location

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