Provider Demographics
NPI:1679984397
Name:A1 COMFORT CARE, LLC
Entity type:Organization
Organization Name:A1 COMFORT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MUKI
Authorized Official - Middle Name:
Authorized Official - Last Name:NDABAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-557-5154
Mailing Address - Street 1:2310 E WERGES AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-1063
Mailing Address - Country:US
Mailing Address - Phone:317-783-5040
Mailing Address - Fax:317-783-5040
Practice Address - Street 1:2310 E WERGES AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-1063
Practice Address - Country:US
Practice Address - Phone:317-783-5040
Practice Address - Fax:317-783-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care