Provider Demographics
NPI:1053023044
Name:COMFORT ZONE HEALTHCARE INC
Entity type:Organization
Organization Name:COMFORT ZONE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:NNAEMEKA
Authorized Official - Middle Name:IRUABUCHI
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:240-515-2067
Mailing Address - Street 1:599 STUYVESANT AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-2404
Mailing Address - Country:US
Mailing Address - Phone:240-515-2067
Mailing Address - Fax:908-793-6500
Practice Address - Street 1:108 HARRISON PL
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-4359
Practice Address - Country:US
Practice Address - Phone:240-515-2067
Practice Address - Fax:908-793-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No253J00000XAgenciesFoster Care Agency
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances