NPIMap

Organization Active NPI

J&K Comfort Home

  • Community/Behavioral Health Agency
  • Isanti, MN
National Provider Identifier
1104780410
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
J&K COMFORT HOME
Practice address
107 3Rd Ave SW
Isanti, MN 55040-7496
Phone
(763) 452-0248
Fax
(763) 452-0206
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Kevin Nyabicha
Title
Manager
Phone
(612) 735-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

107 3Rd Ave SW
Isanti, MN 55040-7496

Mailing address

107 3Rd Ave SW
Isanti, MN 55040-7496
Phone (763) 452-0248

National Provider Directory

National Provider Directory
Tax ID family
JK Comfort Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1104780410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 3RD AVE SW",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407496",
            "telephone_number": "763-452-0248",
            "fax_number": "763-452-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 3RD AVE SW",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407496",
            "telephone_number": "763-452-0248",
            "fax_number": "763-452-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K COMFORT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "NYABICHA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-735-5559"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.