Provider Demographics
NPI:1932926482
Name:COMFORT HAVEN LLC
Entity type:Organization
Organization Name:COMFORT HAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWONA-APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-298-4872
Mailing Address - Street 1:7447 EGAN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-2299
Mailing Address - Country:US
Mailing Address - Phone:651-210-1561
Mailing Address - Fax:
Practice Address - Street 1:7447 EGAN DR STE 100
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-2299
Practice Address - Country:US
Practice Address - Phone:651-210-1561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care