Comfort Care Medical Equipment & Uniforms, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

237 Issued in FL

Legal business name

COMFORT CARE MEDICAL EQUIPMENT & UNIFORMS, INC

Doing business as

Active Home Medical

Practice address

17860 SE 109TH Ave
Suite 630
Summerfield, FL 34491-8909

Phone

(352) 307-3511

Fax

(352) 307-5858

NPI assigned

Sep 13, 2006

Last updated

Apr 23, 2019By 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

Mrs. Brenda J Counsell

Title

President

Phone

(352) 307-3511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Active Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1215032529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE STE 630",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918909",
            "telephone_number": "352-307-3511",
            "fax_number": "352-307-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE",
            "address_2": "SUITE 630",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918909",
            "telephone_number": "352-307-3511",
            "fax_number": "352-307-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE MEDICAL EQUIPMENT & UNIFORMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "COUNSELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-307-3511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032199100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Chesner, MD
• Randy W Clark
• Kaylee Claycomb
• Kathy Clevinger-Magin, ST
• Brenda M Collins, DPT
• Comfortable Care Dental Health Professionals, P.a. (Summerfield Dental Care)
• Alba R Cordero Sanz
• Cosmet Enterprise LLC (Magnolia Dental)
• Crown Medical Solutions, LLC
• Nicole Cruz, OTRL

• Durable Medical Equipment & Medical Supplies in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.