Active NPI
Comfort Adult Day Services, LLC
- General Practice Registered Nurse
- Redford, MI
National Provider Identifier
1356902092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- Legal business name
- COMFORT ADULT DAY SERVICES, LLC
- Practice address
- 24343 Plymouth Rd
Redford, MI 48239-1615 - Phone
- (248) 613-9440
- Fax
- (248) 905-5003
- NPI assigned
- Jun 24, 2019
- 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
- Patricia Ann Williams, RN
- Title
- Administrator
- Phone
- (248) 905-5295
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | Primary | ||
| Licensed Practical Nurse | 164W00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
24343 Plymouth Rd
Redford, MI 48239-1615
Mailing address
30555 Southfield Rd Ste 150
Southfield, MI 48076-7700
Phone (248) 905-5295
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CLOUD | Direct |
National Provider Directory
National Provider DirectoryLocations
24343 Plymouth Rd
Redford, MI 48239
Phone (248) 613-9440
545 Indiana Ave
Toledo, OH 43604
Phone (248) 613-9440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1356902092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30555 SOUTHFIELD RD STE 150",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480767700",
"telephone_number": "248-905-5295",
"fax_number": "248-905-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24343 PLYMOUTH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391615",
"telephone_number": "248-613-9440",
"fax_number": "248-905-5003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT ADULT DAY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-24",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "248-905-5295",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CLOUD",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30555 Southfield Rd Ste 150",
"city": "Southfield",
"state": "MI",
"country_code": "US",
"postal_code": "480767700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.