Provider Demographics
NPI:1396512190
Name:COMFORT HOME HEALTH CARE
Entity type:Organization
Organization Name:COMFORT HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FADUMO
Authorized Official - Middle Name:ABDINASIR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:GD
Authorized Official - Phone:502-807-7162
Mailing Address - Street 1:3640 BRECKENRIDGE CT APT 1
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3602
Mailing Address - Country:US
Mailing Address - Phone:502-807-7162
Mailing Address - Fax:
Practice Address - Street 1:3640 BRECKENRIDGE CT APT 1
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53713-3602
Practice Address - Country:US
Practice Address - Phone:502-807-7162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care