Organization Active NPI

The Comfortcare LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1184484305
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE COMFORTCARE LLC
Practice address
1725 Graham Ave Apt 412
Saint Paul, MN 55116-3280
Phone
(619) 739-2873
NPI assigned
Mar 22, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Abdideke Jama Aden
Title
Owner
Phone
(619) 739-2873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1725 Graham Ave Apt 412
Saint Paul, MN 55116-3280

Mailing address

1725 Graham Ave Apt 412
Saint Paul, MN 55116-3280
Phone (619) 739-2873

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1184484305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 GRAHAM AVE APT 412",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163280",
            "telephone_number": "619-739-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 GRAHAM AVE APT 412",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163280",
            "telephone_number": "619-739-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMFORTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "ABDIDEKE",
        "authorized_official_middle_name": "JAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-739-2873"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.