Provider Demographics
NPI:1225792880
Name:COMFORT HEALTH OUTPATIENT LLC
Entity type:Organization
Organization Name:COMFORT HEALTH OUTPATIENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIDI
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ORIAKU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-460-2211
Mailing Address - Street 1:3621 PENTLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-9236
Mailing Address - Country:US
Mailing Address - Phone:240-460-2211
Mailing Address - Fax:
Practice Address - Street 1:3621 PENTLAND HILLS DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-9236
Practice Address - Country:US
Practice Address - Phone:240-460-2211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health