Provider Demographics
NPI:1053769216
Name:COMFORT PERSONAL CARE SERVICES, LLC
Entity type:Organization
Organization Name:COMFORT PERSONAL CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAO
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-299-0734
Mailing Address - Street 1:118 E DAKOTA ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-6413
Mailing Address - Country:US
Mailing Address - Phone:414-226-6257
Mailing Address - Fax:414-226-6499
Practice Address - Street 1:118 E DAKOTA ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-6413
Practice Address - Country:US
Practice Address - Phone:414-226-6458
Practice Address - Fax:414-226-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-28
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health