Organization Active NPI

Comfort Care Clinic LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1821531732
Registry record updated Nov 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20161596632 Issued in NV
Legal business name
COMFORT CARE CLINIC LLC
Practice address
2121 N Jones Blvd
#206
Las Vegas, NV 89108-3300
Phone
(404) 754-2933
NPI assigned
Nov 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2016

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

Authorized official

Name
Ms. Dyan E WebbNPI 1659814564
Title
Managing Member
Phone
(404) 754-2933

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
Community/Behavioral Health Agency 251S00000X NV20161596632 NV Primary

Addresses

Primary practice location

2121 N Jones Blvd
#206
Las Vegas, NV 89108-3300

Mailing address

2121 N Jones Blvd
#206
Las Vegas, NV 89108-3300
Phone (404) 754-2933

Other identifiers 1

IdentifierTypeStateIssuer
14MedicaidNV

Other names 1

  • Comfort Care Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1479945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479945600000",
    "number": "1821531732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N JONES BLVD",
            "address_2": "#206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083300",
            "telephone_number": "404-754-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N JONES BLVD",
            "address_2": "#206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083300",
            "telephone_number": "404-754-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-24",
        "last_updated": "2016-11-24",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-754-2933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161596632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; 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.