Comfort Residential Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COMFORT RESIDENTIAL CARE LLC

Practice address

17435 N 7TH St Apt 2008
Phoenix, AZ 85022-1911

Phone

(207) 409-2798

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Dominique Mazambo, DSP

Title

Cfo

Phone

(207) 409-2798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1649841925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 N 7TH ST APT 2008",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221911",
            "telephone_number": "207-409-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 N 7TH ST APT 2008",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221911",
            "telephone_number": "207-409-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "MAZAMBO",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-409-2798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurie S Comenzo, PHD, LPC, ABCAC
• Tyler Douglas Comer, PT
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• Comfort Senior Care
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• Laura B Comley
• Command Radiology Solutions LLC
• Communican Speech Therapy LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.