Organization Active NPI

Comfort Place LLC

  • Home Health Agency
  • Crystal, MN
National Provider Identifier
1700752839
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMFORT PLACE LLC
Practice address
4856 Edgewood Ave N
Crystal, MN 55428-4606
Phone
(952) 220-7357
Fax
(952) 220-7357
NPI assigned
Oct 15, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Omotola Agnes Amarvir
Title
Owner/Director
Phone
(952) 220-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4856 Edgewood Ave N
Crystal, MN 55428-4606

Mailing address

8325 York Ave N
Brooklyn Park, MN 55443-2746
Phone (952) 220-7357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1700752839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 YORK AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432746",
            "telephone_number": "952-220-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 EDGEWOOD AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554284606",
            "telephone_number": "952-220-7357",
            "fax_number": "952-220-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "AMARVIR",
        "authorized_official_first_name": "OMOTOLA",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "952-220-7357"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.