NPIMap

Organization Active NPI

Comfort Care Home

  • In Home Supportive Care Agency
  • Maplewood, MN
National Provider Identifier
1063723179
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMFORT CARE HOME
Practice address
2155 English St
Maplewood, MN 55109-3428
Phone
(952) 452-3765
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fartuun Abdulle
Title
Director
Phone
(952) 452-3765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2155 English St
Maplewood, MN 55109-3428

Mailing address

2155 English St
Maplewood, MN 55109-3428
Phone (952) 452-3765

National Provider Directory

National Provider Directory
Tax ID family
Comfort Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1063723179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 ENGLISH ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093428",
            "telephone_number": "952-452-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 ENGLISH ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093428",
            "telephone_number": "952-452-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "FARTUUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-452-3765"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.