Comforter Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMFORTER CARE AGENCY

Practice address

4830 Malpaso
Lansing, MI 48917-1554

Phone

(517) 974-9012

Fax

(517) 886-5194

NPI assigned

Sep 10, 2011

Last updated

Sep 10, 2011By 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

Theophilus Ebosi, MBA HEALTHCARE MAGT.

Title

Ceo

Phone

(517) 974-9012

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315612800000",
    "number": "1578845095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 MALPASO",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171554",
            "telephone_number": "517-974-9012",
            "fax_number": "517-886-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 MALPASO",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171554",
            "telephone_number": "517-974-9012",
            "fax_number": "517-886-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTER CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-10",
        "last_updated": "2011-09-10",
        "status": "A",
        "authorized_official_last_name": "EBOSI",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-974-9012",
        "authorized_official_credential": "MBA HEALTHCARE MAGT."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSA",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Lansing, MI
• Providers in Lansing, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; 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.