NPIMap

Organization Active NPI

At Home Comfort Care LLC

  • Licensed Practical Nurse
  • Cleveland, OH
National Provider Identifier
1073011268
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
AT HOME COMFORT CARE LLC
Practice address
1042 Ansel Rd
Cleveland, OH 44103-2268
Phone
(216) 235-2429
Fax
(216) 235-2429
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Nicolette Walker
Title
LPN Sole Member
Phone
(216) 235-2429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

1042 Ansel Rd
Cleveland, OH 44103-2268

Mailing address

1042 Ansel Rd
Cleveland, OH 44103-2268

Other identifiers 1

IdentifierTypeStateIssuer
1548627987MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1073011268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 ANSEL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 ANSEL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032268",
            "telephone_number": "216-235-2429",
            "fax_number": "216-235-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "LPN SOLE MEMBER",
        "authorized_official_telephone_number": "216-235-2429"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548627987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.