Active NPI
Comfort Care Providers, LLC
- In Home Supportive Care Agency
- Greenville, SC
National Provider Identifier
1629356290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX1045 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.