Active NPI
Comfort Home Health Care Inc.
- In Home Supportive Care Agency
- Irmo, SC
National Provider Identifier
1912923764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHCP-0369
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EXOG57 | Medicaid | SC | |
| EN2087 | Medicaid | SC | |
| EX0814 | Medicaid | SC | |
| EX0627 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.