Comfort Care Providers, LLC.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

COMFORT CARE PROVIDERS, LLC.

Practice address

12409 W Indian School Rd Ste A108
Avondale, AZ 85392-9503

Phone

(623) 328-7087

Fax

(623) 218-1337

NPI assigned

Mar 8, 2018

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aziz Mallik

Title

President

Phone

(623) 383-7087

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Az Home MD LLC

  • Podiatrist
  • Glendale, AZ
  • NPI 1972938165

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Z De Ocampo, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Scottsdale, AZ
  • NPI 1255318788
  NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1952803652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE A108",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929503",
            "telephone_number": "623-328-7087",
            "fax_number": "623-218-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE A108",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929503",
            "telephone_number": "623-328-7087",
            "fax_number": "623-218-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE PROVIDERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MALLIK",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-383-7087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Physiological Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.