Comfort Keepers

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMFORT KEEPERS

Practice address

820 E Best Ave
Coeur D Alene, ID 83814-4836

Phone

(208) 765-9511

Fax

(208) 765-8710

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Vercruyssen

Title

Owner

Phone

(208) 765-9511

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1144626185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E BEST AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144836",
            "telephone_number": "208-765-9511",
            "fax_number": "208-765-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E BEST AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144836",
            "telephone_number": "208-765-9511",
            "fax_number": "208-765-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT KEEPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "VERCRUYSSEN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-765-9511"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8057639",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8057414",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8057413",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana L Colbert, D.O.
• Cassandra Coleman-Heppler, LICSW
• Cassey Coleman, CPSS, CFSP
• Tiffany Coleman, MOTR/L
• Collaborative Behavior Solutions, LLC
• Comfort Keepers
• Community Connections North, Inc.
• Compass Community Services
• Compass Family Practice
• Competitive Fitness, LLC (Competitive Fitness & Physical Therapy)

• In Home Supportive Care Agency in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.