Provider Demographics
NPI:1043510886
Name:ELDERLY COMFORT LLC
Entity type:Organization
Organization Name:ELDERLY COMFORT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MHSA, NHA
Authorized Official - Phone:302-530-6680
Mailing Address - Street 1:800 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1565
Mailing Address - Country:US
Mailing Address - Phone:302-530-6680
Mailing Address - Fax:
Practice Address - Street 1:800 N WEST ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1565
Practice Address - Country:US
Practice Address - Phone:302-530-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2010104444251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care