Active NPI
Comfort Living Home L.L.C
- Adult Care Home Facility
- Kalamazoo, MI
National Provider Identifier
1124267554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- AS390292207
- Legal business name
- COMFORT LIVING HOME L.L.C
- Practice address
- 2111 N Drake Rd
Kalamazoo, MI 49006-1346 - Phone
- (269) 343-3566
- NPI assigned
- Feb 9, 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
- Miss Cavel Young
- Title
- Administrator
- Phone
- (269) 760-1182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | AS390292207 | MI | Primary |
Addresses
Primary practice location
2111 N Drake Rd
Kalamazoo, MI 49006-1346
Mailing address
2111 N Drake Rd
Kalamazoo, MI 49006-1346
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234137600000",
"number": "1124267554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 N DRAKE RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490061346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 N DRAKE RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490061346",
"telephone_number": "269-343-3566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT LIVING HOME L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "CAVEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "269-760-1182",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MI",
"license": "AS390292207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.