Provider Demographics
NPI:1598551665
Name:AT HOME COMFORT CARE LLC
Entity type:Organization
Organization Name:AT HOME COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-646-4449
Mailing Address - Street 1:14826 GRAND CORRAL LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2697
Mailing Address - Country:US
Mailing Address - Phone:346-646-4449
Mailing Address - Fax:
Practice Address - Street 1:14826 GRAND CORRAL LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2697
Practice Address - Country:US
Practice Address - Phone:346-646-4449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health