United Comfort Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010313 Issued in TX

Legal business name

UNITED COMFORT CARE, INC

Practice address

5312 Freestone Dr
Grand Prairie, TX 75052-2672

Phone

(972) 206-0448

Fax

(972) 206-0131

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Comfort Bukola Williams, RN

Title

Administrator

Phone

(972) 206-0448

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Home health agency certification: CCN 453134

Legal name

UNITED COMFORT CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 10, 2004

Last certification

Dec 13, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

5312 Freestone Dr
Grand Prairie, TX 75052-2672
HHA Branch

Listed as

United Comfort Care, Inc.CCN 453134

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Aug 10, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1881603280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 FREESTONE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522672",
            "telephone_number": "972-206-0448",
            "fax_number": "972-206-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 FREESTONE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522672",
            "telephone_number": "972-206-0448",
            "fax_number": "972-206-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMFORT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_middle_name": "BUKOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-206-0448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010313",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.