Organization Active NPI

Comfort Care Providers, LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1629356290
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMFORT CARE PROVIDERS, LLC
Practice address
1200 Woodruff Rd. BLD a-3
Greenville, SC 29607-5748
Phone
(864) 421-6894
Fax
(864) 751-1695
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Ms. Takenya Natori Gallman
Title
Owner/Director
Phone
(864) 421-6894

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

1200 Woodruff Rd. BLD a-3
Greenville, SC 29607-5748

Mailing address

1200 Woodruff Rd. BLD a-3
Greenville, SC 29607-5748
Phone (864) 421-6894

Other identifiers 1

IdentifierTypeStateIssuer
EX1045MedicaidSC

National Provider Directory

National Provider Directory

Locations

511 W Butler Rd
Ste C
Greenville, SC 29607

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1629356290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WOODRUFF RD. BLD A-3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075748",
            "telephone_number": "864-421-6894",
            "fax_number": "864-751-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WOODRUFF RD. BLD A-3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075748",
            "telephone_number": "864-421-6894",
            "fax_number": "864-751-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "GALLMAN",
        "authorized_official_first_name": "TAKENYA",
        "authorized_official_middle_name": "NATORI",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "864-421-6894",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1045",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.