MEDICARE: COMFORT LIVING HOME CARE AGENCY 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1619817210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT LIVING HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	4158 PINO ST
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4915
Country	:	US
Telephone Number	:	407-259-4945
Fax Number	:

Provider Business Practice Location Address
First Line	:	4158 PINO ST
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4915
Country	:	US
Telephone Number	:	407-259-4945
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTIE THIGPEN
Credential	:
Telephone Number	:	407-259-4945

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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