Provider Demographics
NPI:1124262183
Name:HOMECARE COMFORTABLE SOLUTIONS
Entity type:Organization
Organization Name:HOMECARE COMFORTABLE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CAREGIVER
Authorized Official - Prefix:MS
Authorized Official - First Name:VENZUAY
Authorized Official - Middle Name:NANNETTE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-603-7327
Mailing Address - Street 1:3633 CHESTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-6436
Mailing Address - Country:US
Mailing Address - Phone:901-603-7327
Mailing Address - Fax:
Practice Address - Street 1:3633 CHESTERWOOD DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-6436
Practice Address - Country:US
Practice Address - Phone:901-603-7327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN109002357253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care