1730184409 NPI number — COMFORT CARE MEDICAL EQUIPMENT, INC

Table of content: DR. DONALD L. WEISS JR. O.D. (NPI 1518961325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730184409 NPI number — COMFORT CARE MEDICAL EQUIPMENT, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMFORT CARE MEDICAL EQUIPMENT, INC
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:
1730184409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9167
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUNDALK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21222-0167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-519-2114
Provider Business Mailing Address Fax Number:
443-926-9007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1105 N POINT BLVD STE 311
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224-3472
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-358-1580
Provider Business Practice Location Address Fax Number:
443-926-9007
Provider Enumeration Date:
06/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CHALMERS
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
443-519-2113

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 03326185 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 336248500-01 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 533797-01 . This is a "CAREFIRST BC BS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 336248500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 533797-01 . This is a "CARE FIRST BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7089-01 . This is a "FEP 1 BLUE CHOICE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com