Active NPI
Comfort Healthcare, LLC
- Home Health Agency
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- OH03790
- Legal business name
- COMFORT HEALTHCARE, LLC
- Practice address
- 8310 Detroit Ave
Cleveland, OH 44102-1806 - Phone
- (216) 281-9999
- Fax
- (216) 281-9990
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vitaliy A Kutsay
- Title
- Cfo
- Phone
- (216) 281-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH03790 | OH | Primary |
Addresses
Primary practice location
8310 Detroit Ave
Cleveland, OH 44102-1806
Mailing address
8310 Detroit Ave
Cleveland, OH 44102-1806
Phone (216) 281-9999
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165671 | Other | ANTHEM BLUE CROSS AND BLUE SHIELD | |
| 2618804 | Medicaid | OH | |
| 398662 | Other | WELLCARE OF OHIO, INC. | |
| 745457 | Other | BUCKEYE COMMUNITY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050908000189 | OH | Part A Provider - Home Health Agency | 0446282669 | Practice locations: Cleveland, OH |
Home health agency certification: CCN 368125
- Legal name
- COMFORT HEALTHCARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 23, 2005
- Last certification
- Oct 25, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 8310 Detroit Ave
Cleveland, OH 44102-1806
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Comfort Healthcare, LLC
- Ownership
- Proprietary
- Certified
- Nov 23, 2005
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1038454 | Comfort Healthcare LLC | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
8310 Detroit Ave
Cleveland, OH 44102
Phone (216) 281-9999
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Ruzicka | Corporate Officer | Mar 1, 2016 | |
| Corporate Director | Mar 1, 2016 | ||
| W-2 Managing Employee | Mar 1, 2016 | ||
| Sheldon H Rose | Corporate Director | May 4, 2011 | |
| Operational/Managerial Control | May 4, 2011 | ||
| Vitaliy Kutsay | 5% Or Greater Direct Ownership Interest | Nov 16, 2005 | 40% |
| Corporate Officer | Nov 16, 2005 | ||
| Corporate Director | Apr 3, 2006 | ||
| Operational/Managerial Control | Nov 16, 2005 | ||
| Kirill Simakovsky | 5% Or Greater Direct Ownership Interest | Nov 16, 2005 | 60% |
| Corporate Officer | Nov 16, 2005 | ||
| Corporate Director | Apr 3, 2006 | ||
| Operational/Managerial Control | Nov 16, 2005 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Cleveland, OH
- NPI 1649406455
Corporate Director, Operational/Managerial Control
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1073605135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8310 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021806",
"telephone_number": "216-281-9999",
"fax_number": "216-281-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021806",
"telephone_number": "216-281-9999",
"fax_number": "216-281-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "KUTSAY",
"authorized_official_first_name": "VITALIY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "216-281-9999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "OH03790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "165671",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2618804",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF OHIO, INC.",
"identifier": "398662",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HEALTH PLAN",
"identifier": "745457",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- Meaghan A Combs, MD
- Michael Deair Combs
- Pamela Combs, RN MSN BC ANP CDE
- Shauna Michelle Combs, DO
- Comfort & Caring Transportation Services LLC
- Comfort Home Health Services LLC
- Comfort Needs Home Care LLC (Allovia Network Inc.)
- Comfort Trusted Home Care LLL
- Comfort Zone Housing LLC
- Comforting Connections Residential Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.