Organization Active NPI

Comfort Medcare LLC

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1104689272
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMFORT MEDCARE LLC
Practice address
5881 NW 151St St Ste 106
Miami Lakes, FL 33014-2455
Phone
(786) 963-8027
Fax
(786) 963-8043
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Gretel French
Title
Authorized Official
Phone
(786) 963-8027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5881 NW 151St St Ste 106
Miami Lakes, FL 33014-2455

Mailing address

5881 NW 151St St Ste 106
Miami Lakes, FL 33014-2455
Phone (786) 963-8027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017002402 FL Part B Supplier - Clinic/Group Practice 6204368061 Receives reassigned benefits from 2 practitioners
Practice locations: Miami Lakes, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2329368Comfort Medcare LLC5881 NW 151St St Suite 106, Miami Lakes, FL 33014Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1104689272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "786-963-8027",
            "fax_number": "786-963-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "786-963-8027",
            "fax_number": "786-963-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MEDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "GRETEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-963-8027"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.