1396908679 NPI number — COMFORT AND CARE HOME HEALTH AGENCY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396908679 NPI number — COMFORT AND CARE HOME HEALTH AGENCY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMFORT AND CARE HOME HEALTH AGENCY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396908679
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1774
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST CHESTER
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45071-1774
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-318-4344
Provider Business Mailing Address Fax Number:
513-771-2764

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2021 E DUBLIN GRANVILLE RD
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43229-3568
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-318-4344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
UGWU
Authorized Official First Name:
VINNA
Authorized Official Middle Name:
O
Authorized Official Title or Position:
RN
Authorized Official Telephone Number:
440-318-4344

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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