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COMFORT CARE HOME INC NPI 1093248130


NPI Information

NPI: 1093248130
Provider Name: COMFORT CARE HOME INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2264609

Address:
2402 SW SANTANA AVE
PORT ST LUCIE, FL
ZIP 34953
Phone: (954) 605-2597
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COMFORT CARE HOME INC is an assisted living facility in Port St Lucie, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COMFORT CARE HOME INC NPI is 1093248130. The provider is registered as an organization entity type.

The provider's business location address is:

2402 SW SANTANA AVE
PORT ST LUCIE, FL
ZIP 34953-432
Phone: (954) 605-2597

The provider's authorized official is Marcia Karlene Styles .
The authorized official title is Administrator and has the following contact phone number (954) 605-2597.

The CLIA number assigned to this NPI record is 10D2264609 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL12927FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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