Comfort Care of Wi LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMFORT CARE OF WI LLC

Practice address

8624A S Market PL
Oak Creek, WI 53154-3524

Phone

(414) 477-9246

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Hektor Gina

Title

Ceo

Phone

(414) 477-9246

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Comfort Care of Wi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Comfort Care of Wi LLC

  • In Home Supportive Care Agency
  • Oak Creek, WI
  • NPI 1487342077
  NPD tax ID

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1588236996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624A S MARKET PL",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543524",
            "telephone_number": "414-477-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624A S MARKET PL",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543524",
            "telephone_number": "414-477-9246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8624A S Market Pl",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531543524",
            "country_code": "US",
            "telephone_number": "414-477-9246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT CARE OF WI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "GINA",
        "authorized_official_first_name": "HEKTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-477-9246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100170011",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "comfortcareofwi@gmail.com",
            "affiliation": "N",
            "address_1": "8624A S Market Pl",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531543524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• City of Oak Creek
• Irina Ciubotaru, MD
• Leslie A. Clark, LPC, CSAC, CIR, ICS-
• Richard V Colan, M.D.
• Comfort Care of Wi LLC
• Community Memorial Hospital of Menomonee Falls Inc (F & MCW Drexel Town Square Pharmacy)
• Natalie Connelly
• Jenna Nicole Cooper
• Kantrelle Damone Cooper, LPN
• Erin Anne Correll

• Home Health Agency in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.