MEDICARE: COMFORT CARE MEDICAL EQUIPMENT, INC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	03326185	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	53379701	OTHER	MD	CAREFIRST BCBS
4	F7150001	OTHER		BS FEDERAL
5	S3379702	OTHER		CAREFIRST BCBS

General Provider Information

NPI Number	:	1396742888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CARE MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	7801 YORK ROAD
Second Line	:	SUITE 336
City	:	TOWSON
State	:	MD
Zip	:	21204-7449
Country	:	US
Telephone Number	:	410-828-0947
Fax Number	:	410-828-8967

Provider Business Practice Location Address
First Line	:	1105 NORTH POINT BLVD
Second Line	:	STE 325
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3418
Country	:	US
Telephone Number	:	410-282-9660
Fax Number	:	410-282-9661

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PATRICK LEE CHALMERS
Credential	:
Telephone Number	:	443-519-2113

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	05/18/2010

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