Provider Demographics
NPI:1124643820
Name:COMFORT & AFFORDABLE CARE AGENCY LLC
Entity type:Organization
Organization Name:COMFORT & AFFORDABLE CARE AGENCY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAHR
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LABORATORY MANAGER
Authorized Official - Phone:919-650-0615
Mailing Address - Street 1:3817 WATKINS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-0796
Mailing Address - Country:US
Mailing Address - Phone:919-650-0615
Mailing Address - Fax:
Practice Address - Street 1:3817 WATKINS RIDGE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-0796
Practice Address - Country:US
Practice Address - Phone:919-650-0615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care