Provider Demographics
NPI:1982439394
Name:XYROMA LLC DBA COMFORTING WAVES HOME HEALTHCARE
Entity type:Organization
Organization Name:XYROMA LLC DBA COMFORTING WAVES HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NANA
Authorized Official - Middle Name:OPON
Authorized Official - Last Name:CHEREME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-336-1120
Mailing Address - Street 1:5450 RALSTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6042
Mailing Address - Country:US
Mailing Address - Phone:805-336-1120
Mailing Address - Fax:
Practice Address - Street 1:5450 RALSTON ST STE 101
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6042
Practice Address - Country:US
Practice Address - Phone:805-336-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health