Provider Demographics
NPI:1720637705
Name:COMFORT CARE ADHC, INC
Entity type:Organization
Organization Name:COMFORT CARE ADHC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAHAN
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:MARUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-903-0137
Mailing Address - Street 1:13705 KISMET AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1765
Mailing Address - Country:US
Mailing Address - Phone:818-903-0137
Mailing Address - Fax:818-475-1700
Practice Address - Street 1:23154 VALENCIA BLVD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1716
Practice Address - Country:US
Practice Address - Phone:818-903-0137
Practice Address - Fax:818-475-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care