NPIMap

Organization Active NPI

Comfort Care Homecare Inc

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1710547641
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMFORT CARE HOMECARE INC
Practice address
23123 State Road 7 Ste 200B
Boca Raton, FL 33428-5407
Phone
(561) 644-7163
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Authorized official

Name
Mrs. Charlene Anglin, RNNPI 1669123378
Title
President
Phone
(561) 644-7163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

23123 State Road 7 Ste 200B
Boca Raton, FL 33428-5407

Mailing address

7873 NW 60TH LN
Parkland, FL 33067-3325
Phone (561) 644-7163

Other identifiers 1

IdentifierTypeStateIssuer
106028500MedicaidFL

Other names 1

  • Comfort Care Homecare INC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL comfortcarellc@gmail.com Health Information Exchange (HIE)
CONNECT URL comfortcarenurse.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201113002476 FL Part A Provider - Home Health Agency 4789094160 Practice locations: Boca Raton, FL

Home health agency certification: CCN 687128

Legal name
COMFORT CARE HOMECARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 2, 2021
Last certification
Sep 2, 2021
Organization structure
CorporationProprietary
Incorporated
May 21, 2019 in FL
Enrollment address
23123 State Road 7
Ste 200B
Boca Raton, FL 33428-5407

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comfort Care Homecare IncCCN 687128
Overall star rating
3.5 of 5
Ownership
-
Certified
Sep 2, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2211671Comfort Care Homecare Inc23123 State Rd 7 Suite 200-B, Boca Raton, FL 33428Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

23123 State Road 7
Ste 200B
Boca Raton, FL 33428
Phone (561) 644-7163

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charlene Anglin Individual 5% Or Greater Direct Ownership Interest May 21, 2019 100%
Operational/Managerial Control May 21, 2019 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590883200000",
    "number": "1710547641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7873 NW 60TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673325",
            "telephone_number": "561-644-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 STATE ROAD 7 STE 200B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285407",
            "telephone_number": "561-644-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-644-7163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106028500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "comfortcarellc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23123 State Road 7 Ste 200B",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334285407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "comfortcarenurse.com",
            "affiliation": "N",
            "address_1": "23123 State Road 7 Ste 200B",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334285407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comfort Care Homecare INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Care Homecare INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.