Provider Demographics
NPI:1053292532
Name:WAVE COMFORT CARE SERVICES LLC
Entity type:Organization
Organization Name:WAVE COMFORT CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-226-7786
Mailing Address - Street 1:5029 37TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-1524
Mailing Address - Country:US
Mailing Address - Phone:612-226-7786
Mailing Address - Fax:612-226-7786
Practice Address - Street 1:5029 37TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-1524
Practice Address - Country:US
Practice Address - Phone:612-226-7786
Practice Address - Fax:612-226-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency