Active NPI
Comfort 4 Mom and Baby LLC
- Early Intervention Provider Agency
- Southfield, MI
National Provider Identifier
1083940662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- COMFORT 4 MOM AND BABY LLC
- Practice address
- 17250 W 12 Mile Rd
Suite122
Southfield, MI 48076-2127 - Phone
- (248) 613-9440
- Fax
- (248) 905-5003
- NPI assigned
- Nov 2, 2009
- 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
- Patricia A Williams, RN
- Title
- Sole Member
- Phone
- (248) 613-9440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
17250 W 12 Mile Rd
Suite122
Southfield, MI 48076-2127
Mailing address
17250 W 12 Mile Rd
Suite122
Southfield, MI 48076-2127
Phone (248) 613-9440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257120000000",
"number": "1083940662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17250 W 12 MILE RD",
"address_2": "SUITE122",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762127",
"telephone_number": "248-613-9440",
"fax_number": "248-905-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17250 W 12 MILE RD",
"address_2": "SUITE122",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762127",
"telephone_number": "248-613-9440",
"fax_number": "248-905-5003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT 4 MOM AND BABY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "248-613-9440",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.