1588724447 NPI number — COMFORT SOLUTION HOME CARE SERVICES

Table of content: JENNIVIE CHRISHAE BOUIE LPN (NPI 1265017339)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588724447 NPI number — COMFORT SOLUTION HOME CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMFORT SOLUTION HOME CARE SERVICES
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:
1588724447
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5333 NORTHFIELD RD STE 215
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEDFORD HEIGHTS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44146-1150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-587-4660
Provider Business Mailing Address Fax Number:
216-587-4661

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5333 NORTHFIELD RD STE 215
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEDFORD HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44146-1150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-587-4660
Provider Business Practice Location Address Fax Number:
216-587-4661
Provider Enumeration Date:
12/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LOVE
Authorized Official First Name:
ALESIA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
216-587-4660

Provider Taxonomy Codes

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

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





Copyright © 2007-2026 www.npivalidator.com