MEDICARE: COMFORT HEALTH SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356058168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	319 N 4TH ST STE 609
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63102-1933
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 N 4TH ST STE 609
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63102-1933
Country	:	US
Telephone Number	:	314-243-3023
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	AYANA TORRANCE
Credential	:
Telephone Number	:	314-243-3023

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	11/01/2022

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Directions to “COMFORT HEALTH SERVICES LLC ” Practice Location

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