Provider Demographics
NPI:1588356836
Name:ASSISTED COMFOR HOME INC.
Entity type:Organization
Organization Name:ASSISTED COMFOR HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:SMBAT
Authorized Official - Middle Name:
Authorized Official - Last Name:KLNDJUYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-800-9970
Mailing Address - Street 1:23731 KILLION ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5823
Mailing Address - Country:US
Mailing Address - Phone:818-800-9970
Mailing Address - Fax:
Practice Address - Street 1:23731 KILLION ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5823
Practice Address - Country:US
Practice Address - Phone:818-800-9970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility