Organization Active NPI

Comfort Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Noblesville, IN
National Provider Identifier
1326318361
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
69000586A Issued in IN
Legal business name
COMFORT MEDICAL SUPPLY LLC
Practice address
15320 Endeavor Drive
Unit 900
Noblesville, IN 46060
Phone
(317) 776-1168
NPI assigned
Jan 9, 2012
Organization subpart
Yes
Parent organization
RMH MEDICAL GROUP HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Craig A Daley
Title
President & Ceo
Phone
(386) 673-6902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 69000586A IN Primary

Addresses

Primary practice location

15320 Endeavor Drive
Unit 900
Noblesville, IN 46060

Mailing address

15320 Endeavor Dr
Unit 900
Noblesville, IN 46060-4946
Phone (877) 204-3733

Other identifiers 1

IdentifierTypeStateIssuer
200855820AMedicaidIN

National Provider Directory

National Provider Directory

Locations

15320 Endeavor Dr
Ste 900
Noblesville, IN 46060
Phone (317) 776-1168

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1326318361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 ENDEAVOR DR",
            "address_2": "UNIT 900",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604946",
            "telephone_number": "877-204-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 ENDEAVOR DRIVE",
            "address_2": "UNIT 900",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46060",
            "telephone_number": "317-776-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RMH MEDICAL GROUP HOLDINGS, INC.",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "386-673-6902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000586A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200855820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.