Provider Demographics
NPI:1124903976
Name:COMFORT CARE CO ND LLC
Entity type:Organization
Organization Name:COMFORT CARE CO ND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / AUTHORIZED OFFICAL
Authorized Official - Prefix:MS
Authorized Official - First Name:KISI
Authorized Official - Middle Name:YAVENCIA
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-770-0886
Mailing Address - Street 1:3332 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-2610
Mailing Address - Country:US
Mailing Address - Phone:701-770-0886
Mailing Address - Fax:
Practice Address - Street 1:1407 S BROADWAY STE F
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6280
Practice Address - Country:US
Practice Address - Phone:701-770-0886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care