Provider Demographics
NPI:1992479539
Name:GOLDEN COMFORT CARE LLC
Entity type:Organization
Organization Name:GOLDEN COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSARAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-978-4585
Mailing Address - Street 1:100 CONNELL DR STE 2300
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2741
Mailing Address - Country:US
Mailing Address - Phone:732-425-2612
Mailing Address - Fax:
Practice Address - Street 1:100 CONNELL DR STE 2300
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2741
Practice Address - Country:US
Practice Address - Phone:732-978-4585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health