MEDICARE: COMFORT HOME HEALTH CARE, 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	251E00000X	Home Health Agency	058149	CA

General Provider Information

NPI Number	:	1912905316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	3633 LONG BEACH BLVD
Second Line	:	#103
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4015
Country	:	US
Telephone Number	:	562-997-4150
Fax Number	:	562-997-4049

Provider Business Practice Location Address
First Line	:	3633 LONG BEACH BLVD
Second Line	:	#103
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4015
Country	:	US
Telephone Number	:	562-997-4150
Fax Number	:	562-997-4049

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TODD NGUYEN
Credential	:
Telephone Number	:	562-997-4150

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	01/16/2008

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