Organization Active NPI

Comfor at Home Care Service LLC

  • In Home Supportive Care Agency
  • Mankato, MN
National Provider Identifier
1609528496
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jan 22, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.