Comfort Care of Mount Dora Corp

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COMFORT CARE OF MOUNT DORA CORP

Practice address

2409 Country Club Rd
Eustis, FL 32726-7677

Phone

(352) 999-1845

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Roselle Repollo Balajadia

Title

Administrator

Phone

(352) 999-1845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1073122826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 COUNTRY CLUB RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327267677",
            "telephone_number": "352-999-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 COUNTRY CLUB RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327267677",
            "telephone_number": "352-999-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE OF MOUNT DORA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "BALAJADIA",
        "authorized_official_first_name": "ROSELLE",
        "authorized_official_middle_name": "REPOLLO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-999-1845"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer June Cline, FNP
• Maria J Cofrancesco, DNP, GNP, CNS
• Corrine Sabrina Collier
• Carla G Colvin
• Ginette Natalia Comer, RBT
• Comfortable Living, in Good Hands
• Compassionate Connections Home Care LLC
• Compassionate Support Services LLC
• Nicholas K Conboy
• Jennifer Lee Cortes

• Developmentally Disabled Services Day Training Agency in Eustis, FL
• Providers in Eustis, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.