NPIMap

Organization Active NPI

Comfort Home Health Care

  • Assisted Living Facility
  • Fitchburg, WI
National Provider Identifier
1396512190
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMFORT HOME HEALTH CARE
Practice address
3640 Breckenridge CT Apt 1
Fitchburg, WI 53713-3602
Phone
(502) 807-7162
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Fadumo Abdinasir Ahmed, GD
Title
Ceo
Phone
(502) 807-7162

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3640 Breckenridge CT Apt 1
Fitchburg, WI 53713-3602

Mailing address

3640 Breckenridge CT Apt 1
Fitchburg, WI 53713-3602
Phone (502) 807-7162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1396512190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 BRECKENRIDGE CT APT 1",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133602",
            "telephone_number": "502-807-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 BRECKENRIDGE CT APT 1",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133602",
            "telephone_number": "502-807-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "ABDINASIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-807-7162",
        "authorized_official_credential": "GD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.