Provider Demographics
NPI:1427807056
Name:COMFORT LOVE SUPPLIES LLC
Entity type:Organization
Organization Name:COMFORT LOVE SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLANUSTRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-588-8296
Mailing Address - Street 1:12904 SW 133RD CT STE B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5868
Mailing Address - Country:US
Mailing Address - Phone:786-460-4135
Mailing Address - Fax:786-866-6346
Practice Address - Street 1:12904 SW 133RD CT STE B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5868
Practice Address - Country:US
Practice Address - Phone:786-460-4135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies