Provider Demographics
NPI:1053933895
Name:COMCARE LLC
Entity type:Organization
Organization Name:COMCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-944-0923
Mailing Address - Street 1:2817 ANTHONY LN S STE 105
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2489
Mailing Address - Country:US
Mailing Address - Phone:619-944-0923
Mailing Address - Fax:
Practice Address - Street 1:2817 ANTHONY LN S STE 105
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-2489
Practice Address - Country:US
Practice Address - Phone:612-444-7484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services