Provider Demographics
NPI:1447050257
Name:COMFORTCARE SERVICES CO
Entity type:Organization
Organization Name:COMFORTCARE SERVICES CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IMAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-500-7903
Mailing Address - Street 1:6828 101ST ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-5510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6828 101ST ST S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-5510
Practice Address - Country:US
Practice Address - Phone:651-500-7903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center