Comfort of Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMFORT OF HOME CARE LLC

Practice address

200 S Hill Ave Ste 222
South Hill, VA 23970-3239

Phone

(434) 584-9339

Fax

(866) 203-5539

NPI assigned

May 14, 2020

Last updated

May 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shareka Shantya Headley

Title

Administrator

Phone

(757) 321-0463

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1659993418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HILL AVE STE 222",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239703239",
            "telephone_number": "704-345-2331",
            "fax_number": "866-203-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HILL AVE STE 222",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239703239",
            "telephone_number": "434-584-9339",
            "fax_number": "866-203-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT OF HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "SHAREKA",
        "authorized_official_middle_name": "SHANTYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-321-0463"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Documents",
            "affiliation": "N",
            "address_1": "200 S Hill Ave Ste 222",
            "city": "South Hill",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239703239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in South Hill, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.