Provider Demographics
NPI:1073347019
Name:COMFORT ON THE SEVERN HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:COMFORT ON THE SEVERN HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TORNISHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-599-9545
Mailing Address - Street 1:29 SEVERN WAY
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2411
Mailing Address - Country:US
Mailing Address - Phone:443-599-9545
Mailing Address - Fax:
Practice Address - Street 1:29 SEVERN WAY
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2411
Practice Address - Country:US
Practice Address - Phone:443-599-9545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care