Provider Demographics
NPI:1699481655
Name:COMFORT AND HEALING HHA
Entity type:Organization
Organization Name:COMFORT AND HEALING HHA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OMNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-900-4004
Mailing Address - Street 1:746 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-3032
Mailing Address - Country:US
Mailing Address - Phone:551-900-4004
Mailing Address - Fax:908-691-9214
Practice Address - Street 1:746 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3032
Practice Address - Country:US
Practice Address - Phone:551-900-4004
Practice Address - Fax:908-691-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0990205Medicaid