Provider Demographics
NPI:1427858562
Name:COMFORT CORNER HOME CARE LLC
Entity type:Organization
Organization Name:COMFORT CORNER HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-439-0520
Mailing Address - Street 1:195 COOPER CREEK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-5968
Mailing Address - Country:US
Mailing Address - Phone:980-439-0520
Mailing Address - Fax:
Practice Address - Street 1:316 UNION HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-5942
Practice Address - Country:US
Practice Address - Phone:980-439-0520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health