| Organization Name: | COMFORT CARE PROVIDER SERVICES LLC |
| NPI Number: | 1427432442 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY ROSS (OWNER/ADMINISTRATOR) |
| Mailing Address: | 206 Oak Meadow Ln Cedar Hill |
| State: | TX US |
| Postal Code: | 751043282 |
| Phone Number: | 9722939631 |
| Fax Number: | 2142928843 |
| NPI Enumeration Date: | 07/20/2015 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 016901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |