Organization Active NPI

Comfort Home Care LLC

  • Home Health Agency
  • Methuen, MA
National Provider Identifier
1407063217
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8034 Issued in MA
Legal business name
COMFORT HOME CARE LLC
Practice address
147 Pelham St
Methuen, MA 01844-2060
Phone
(978) 685-4700
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Brandon E Howes, RNNPI 1003215278
Title
President
Phone
(978) 685-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8034 MA Primary

Addresses

Primary practice location

147 Pelham St
Methuen, MA 01844-2060

Mailing address

147 Pelham St
Methuen, MA 01844-2060
Phone (978) 685-4700

Other identifiers 1

IdentifierTypeStateIssuer
0608661MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001262 MA Part A Provider - Home Health Agency 1850483884 Practice locations: Methuen, MA

Home health agency certification: CCN 227505

Legal name
COMFORT HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 30, 2008
Last certification
May 17, 2013
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 20, 2007 in MA
Enrollment address
147 Pelham St
Methuen, MA 01844-2060

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comfort Home Care, LLCCCN 227505
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1068678Comfort Home Care LLC147 Pelham Street, Methuen, MA 01844Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Locations

248 Pleasant St
Ste 212
Methuen, MA 01844
Phone (978) 685-4700

997 Millbury St
Worcester, MA 01607
Phone (508) 842-2900

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brandon E Howes Individual 5% Or Greater Direct Ownership Interest Mar 20, 2007 60%
Operational/Managerial ControlPresident/Owner Mar 20, 2007 60%
John Cook Individual 5% Or Greater Direct Ownership Interest Mar 20, 2007 40%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1407063217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PELHAM ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442060",
            "telephone_number": "978-685-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PELHAM ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442060",
            "telephone_number": "978-685-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "HOWES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-685-4700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "8034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608661",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.