Provider Demographics
NPI:1376429506
Name:COMFORT CARE HOME CARE ASSISTANCE
Entity type:Organization
Organization Name:COMFORT CARE HOME CARE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANIACI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-881-3390
Mailing Address - Street 1:18150 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-6237
Mailing Address - Country:US
Mailing Address - Phone:313-881-3390
Mailing Address - Fax:
Practice Address - Street 1:18150 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-6237
Practice Address - Country:US
Practice Address - Phone:313-881-3390
Practice Address - Fax:313-881-3391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care