Individual provider Active NPI

Comfort Fombu

  • Home Health Registered Nurse
  • Dorchester Center, MA
National Provider Identifier
1508996489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
262119 Issued in MA
Practice address
2083 Dorchester Avenue
Apt. #3
Dorchester Center, MA 02124-4795
Phone
(617) 298-6949
Fax
(617) 298-6949
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 262119 MA Primary

Addresses

Primary practice location

2083 Dorchester Avenue
Apt. #3
Dorchester Center, MA 02124-4795

Mailing address

2083 Dorchester Ave
Apt. #3
Dorchester Center, MA 02124-4795
Phone (617) 298-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508996489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 DORCHESTER AVE",
            "address_2": "APT. #3",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021244795",
            "telephone_number": "617-298-6949",
            "fax_number": "617-298-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 DORCHESTER AVENUE",
            "address_2": "APT. #3",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021244795",
            "telephone_number": "617-298-6949",
            "fax_number": "617-298-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBU",
        "first_name": "COMFORT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "262119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.