Comfort Support Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

COMFORT SUPPORT HOME, LLC

Practice address

3157 Holloway Rd
Falls Church, VA 22042-4205

Phone

(240) 441-3944

NPI assigned

Jul 26, 2019

Last updated

Jul 26, 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

Edwan MbakuNPI 1063776581

Title

Director

Phone

(240) 441-3944

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwan Agwah Mbaku

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
  • NPI 1063776581
  NPD Authorized official

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1457905598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 HOLLOWAY RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424205",
            "telephone_number": "240-441-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 HOLLOWAY RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424205",
            "telephone_number": "240-441-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT SUPPORT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "MBAKU",
        "authorized_official_first_name": "EDWAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-441-3944"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Colsky, MS
• Michael J Colston, MD
• Sara Combos
• Anthony J Comerota, M.D.
• Comfort Home Health Care, LLC
• Emelia Commey-Bissah, NP
• Community Pharmacy LLC
• Compass Behavioral Health PLLC
• Compass Communication Group, LLC
• Compass Health Center Virginia LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.