Active NPI
Comfor at Home Care Service LLC
- In Home Supportive Care Agency
- Mankato, MN
National Provider Identifier
1609528496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- COMFOR AT HOME CARE SERVICE LLC
- Practice address
- 821 N 2ND St Ste 203
Mankato, MN 56001-3372 - Phone
- (612) 701-3092
- NPI assigned
- Jan 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abukar Abdimuhumad Mohmoud
- Title
- Director
- Phone
- (612) 701-3092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
821 N 2ND St Ste 203
Mankato, MN 56001-3372
Mailing address
821 N 2ND St Ste 203
Mankato, MN 56001-3372
Phone (612) 701-3092
Other names 1
- Comfort At Home Care Service LLC
National Provider Directory
National Provider DirectoryLocations
821 N 2nd St
Ste 203
Mankato, MN 56001
Phone (612) 701-3092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642809600000",
"number": "1609528496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 N 2ND ST STE 203",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013372",
"telephone_number": "612-701-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N 2ND ST STE 203",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013372",
"telephone_number": "612-701-3092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFOR AT HOME CARE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-22",
"last_updated": "2022-01-22",
"certification_date": "2022-01-22",
"status": "A",
"authorized_official_last_name": "MOHMOUD",
"authorized_official_first_name": "ABUKAR",
"authorized_official_middle_name": "ABDIMUHUMAD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "612-701-3092",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort At Home Care Service LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.