Provider Demographics
NPI:1053126995
Name:COMPASSIONATE COMFORT LLC
Entity type:Organization
Organization Name:COMPASSIONATE COMFORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KOLADE
Authorized Official - Middle Name:BENSON
Authorized Official - Last Name:OMOYENI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:646-229-4597
Mailing Address - Street 1:205 RIVER WAY CT APT 102
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5720
Mailing Address - Country:US
Mailing Address - Phone:646-229-4597
Mailing Address - Fax:
Practice Address - Street 1:205 RIVER WAY CT APT 102
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5720
Practice Address - Country:US
Practice Address - Phone:646-229-4597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty