MEDICARE: COMFORT HEALTHCARE 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	HC2964	NC

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

General Provider Information

NPI Number	:	1942461694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HEALTHCARE INC

Provider Business Mailing Address
First Line	:	PO BOX 58218
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27658-8218
Country	:	US
Telephone Number	:	919-291-6596
Fax Number	:	252-456-0039

Provider Business Practice Location Address
First Line	:	102 WALKER AVENUE
Second Line	:
City	:	NORLINA
State	:	NC
Zip	:	27563-9292
Country	:	US
Telephone Number	:	252-456-0038
Fax Number	:	252-456-0039

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OGBONNAYA UDE ANYANSO
Credential	:
Telephone Number	:	919-291-6596

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/24/2008

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Directions to “COMFORT HEALTHCARE INC ” Practice Location

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