Organization Active NPI

Comfort Home Health Care Inc.

  • In Home Supportive Care Agency
  • Irmo, SC
National Provider Identifier
1912923764
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0369 Issued in SC
Legal business name
COMFORT HOME HEALTH CARE INC.
Practice address
107 Oak Park Dr
Irmo, SC 29063-6108
Phone
(803) 261-1405
Fax
(866) 883-2009
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Sam Mathur
Title
President
Phone
(803) 261-1405

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X IHCP0369 SC
In Home Supportive Care Agency 253Z00000X IHCP-0369 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X EN2087 SC

Addresses

Primary practice location

107 Oak Park Dr
Irmo, SC 29063-6108

Mailing address

100 Old Cherokee Rd
Suite F-333
Lexington, SC 29072-9316
Phone (803) 261-1405

Other identifiers 4

IdentifierTypeStateIssuer
EXOG57MedicaidSC
EN2087MedicaidSC
EX0814MedicaidSC
EX0627MedicaidSC

National Provider Directory

National Provider Directory

Locations

107 Oak Park Dr
Irmo, SC 29063
Phone (803) 261-1405

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1912923764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD CHEROKEE RD",
            "address_2": "SUITE F-333",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729316",
            "telephone_number": "803-261-1405",
            "fax_number": "866-883-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OAK PARK DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290636108",
            "telephone_number": "803-261-1405",
            "fax_number": "866-883-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-261-1405"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "IHCP0369",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0369",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "EN2087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXOG57",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN2087",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0814",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0627",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.