Provider Demographics
NPI:1851133342
Name:COMFORT CARE HEALTH AGENCY
Entity type:Organization
Organization Name:COMFORT CARE HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RASAILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-713-5142
Mailing Address - Street 1:1183 GLADIOLUS CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-6780
Mailing Address - Country:US
Mailing Address - Phone:214-713-5142
Mailing Address - Fax:
Practice Address - Street 1:1183 GLADIOLUS CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-6780
Practice Address - Country:US
Practice Address - Phone:214-713-5142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health