Organization Active NPI

Comfort at Home Care Services LLC

  • Home Health Agency
  • Bismarck, ND
National Provider Identifier
1679255491
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMFORT AT HOME CARE SERVICES LLC
Practice address
504 E Interstate Ave
Bismarck, ND 58503-1170
Phone
(701) 989-3820
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Augustine Etilo, MD
Title
Co-Owner
Phone
(701) 989-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

504 E Interstate Ave
Bismarck, ND 58503-1170

Mailing address

504 E Interstate Ave
Bismarck, ND 58503-1170
Phone (701) 989-3820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1679255491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E INTERSTATE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031170",
            "telephone_number": "701-989-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E INTERSTATE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031170",
            "telephone_number": "701-989-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT AT HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "ETILO",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "701-989-3820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.