Comfort in-Home Seniors Care, Inc.

Primary specialty

HomemakerTaxonomy code 376J00000X

License

8000175 Issued in IL

Legal business name

COMFORT IN-HOME SENIORS CARE, INC.

Practice address

1626 N Summit St
Wheaton, IL 60187-3350

Phone

(800) 707-9244

Fax

(630) 571-8320

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By 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

Mr. Samuel Yousaf Khan, ARRT

Title

Administrator

Phone

(630) 517-8320

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1174822605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 N SUMMIT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873350",
            "telephone_number": "800-707-9244",
            "fax_number": "630-571-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 N SUMMIT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873350",
            "telephone_number": "800-707-9244",
            "fax_number": "630-571-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT IN-HOME SENIORS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "YOUSAF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-517-8320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARRT"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "IL",
            "license": "8000175",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IL",
            "license": "8000175",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IL",
            "license": "8000175",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IL",
            "license": "8000175",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": "8000175",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "8000175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.