MEDICARE: COMFORTCARE HOMEHEALTH 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	343900000X	Non-emergency Medical Transport (VAN)
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356706204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORTCARE HOMEHEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	2305 HIGHWAY 6 S
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77077-5249
Country	:	US
Telephone Number	:	832-486-9642
Fax Number	:	832-486-9732

Provider Business Practice Location Address
First Line	:	2305 HIGHWAY 6 S
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77077-5249
Country	:	US
Telephone Number	:	832-486-9642
Fax Number	:	832-486-9732

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KAMRUL ALAM
Credential	:
Telephone Number	:	832-486-9642

Provider Enumeration Date	:	12/19/2015
Last Update Date	:	12/01/2022

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