Organization Active NPI

Comforcare Home Care LLC

  • Home Health Agency
  • Chesapeake, VA
National Provider Identifier
1205696457
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 27, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.