Provider Demographics
NPI:1194261511
Name:REAL COMFORT LIVING LLC
Entity type:Organization
Organization Name:REAL COMFORT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:EKWEALOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-850-8761
Mailing Address - Street 1:10103 FONDREN RD STE 474
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4671
Mailing Address - Country:US
Mailing Address - Phone:832-582-6111
Mailing Address - Fax:832-582-5563
Practice Address - Street 1:17014 QUAIL BEND DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-6158
Practice Address - Country:US
Practice Address - Phone:281-300-8765
Practice Address - Fax:281-437-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances