Provider Demographics
NPI:1528943693
Name:OPULENCE SENIOR COMFORT CARE AGENCY, LLC
Entity type:Organization
Organization Name:OPULENCE SENIOR COMFORT CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHIMINE
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:LOFTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-247-7171
Mailing Address - Street 1:1556 UNION RD UNIT E
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2208
Mailing Address - Country:US
Mailing Address - Phone:704-247-7171
Mailing Address - Fax:
Practice Address - Street 1:1556 UNION RD UNIT E
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2208
Practice Address - Country:US
Practice Address - Phone:704-247-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care