1447572664 NPI number — COMFORT CARE ENTERPRISES

Table of content: (NPI 1447572664)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447572664 NPI number — COMFORT CARE ENTERPRISES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMFORT CARE ENTERPRISES
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:
6
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:
1447572664
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
530 N PUENTE ST
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
BREA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92821-2804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-469-0222
Provider Business Mailing Address Fax Number:
714-256-2004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2051 CABOT PL
Provider Second Line Business Practice Location Address:
SUITE H
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93030-2603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-604-7800
Provider Business Practice Location Address Fax Number:
888-436-3108
Provider Enumeration Date:
02/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
VOROBIEV
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
818-645-2168

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  52903 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com