Active NPI
Comforcare Home Care LLC
- Home Health Agency
- Chesapeake, VA
National Provider Identifier
1205696457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMFORCARE HOME CARE LLC
- Practice address
- 1500 Shipyard Rd
Chesapeake, VA 23323-5516 - Phone
- (804) 943-0985
- NPI assigned
- Mar 21, 2024
- 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
- Octavia Jackson
- Title
- Owner
- Phone
- (804) 943-0985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1500 Shipyard Rd
Chesapeake, VA 23323-5516
Mailing address
142 Peck LN
Suffolk, VA 23434-7611
Phone (804) 943-0985
National Provider Directory
National Provider DirectoryLocations
1500 Shipyard Rd
Chesapeake, VA 23323
Phone (804) 943-0985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1205696457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 PECK LN",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347611",
"telephone_number": "804-943-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SHIPYARD RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233235516",
"telephone_number": "804-943-0985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORCARE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "OCTAVIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-943-0985"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.