Provider Demographics
NPI:1053902197
Name:COMFORT & CARE HOME SERVICES, LLC
Entity type:Organization
Organization Name:COMFORT & CARE HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERVON
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUBIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-499-1273
Mailing Address - Street 1:3630 S PLAZA TRL STE 210J
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-3366
Mailing Address - Country:US
Mailing Address - Phone:757-499-1273
Mailing Address - Fax:
Practice Address - Street 1:3630 S PLAZA TRL STE 210J
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-3366
Practice Address - Country:US
Practice Address - Phone:757-499-1273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health