Comfort Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000001052 Issued in TN

Legal business name

COMFORT MEDICAL SUPPLY LLC

Practice address

2115 Chapman Rd
Ste 135
Chattanooga, TN 37421-1618

Phone

(423) 893-6163

NPI assigned

Sep 21, 2011

Organization subpart

Yes

Parent organization

RMH MEDICAL GROUP HOLDINGS, INCAs reported in NPPES

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

Authorized official

Name

Craig A Daley

Title

President & Ceo

Phone

(386) 673-6902

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1891078309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747541",
            "telephone_number": "386-673-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CHAPMAN RD",
            "address_2": "STE 135",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211618",
            "telephone_number": "423-893-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RMH MEDICAL GROUP HOLDINGS, INC",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "386-673-6902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000001052",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "0000001052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582489",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.