COMFORCARE SENIOR SERVICES (NPI# 1053497404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053497404 |
| Entity Type | Organization |
| Organization Name | COMFORCARE SENIOR SERVICES |
| Other Organization Name | SOUTHEASTERN HOME HEALTH CARE SERVICES, INC. |
| Practice Address |
2003 N Pine St Ste B Lumberton NC 28358-3935 |
| Mailing Address |
405 Dunn Rd Lumberton NC 28358-7913 |
| Practice Telephone | 9102720121 |
| Practice Fax Number | 9102720141 |
| Mailing Telephone | 9102720121 |
| Mailing Fax Number | 9102720141 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | DIANE SURGEON (CEO) |
| Authorized Official Telephone | 9102720121 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
HC3342 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301840B | 05 | |
| NC | 8301840 | 05 | |
| NC | 8301840G | 05 | |
| NC | 6601465 | 05 | |
| NC | 3418102 | 05 |
| Other Name | Type Code |
|---|---|
| Southeastern Home Health Care Services, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417237868 | Comforcare Senior Services | In Home Supportive Care | 2500 Packard St, Suite #205, Ann Arbor, MI 48104-6827 | 2011-08-17 |
| 1740590736 | Comforcare Senior Services | In Home Supportive Care | 6422 E Main St Ste 205, Reynoldsburg, OH 43068-2302 | 2010-10-08 |
| 1487975884 | Comforcare Senior Services | In Home Supportive Care | 50 E 91st St Ste 305, Indianapolis, IN 46240-1556 | 2010-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMFORCARE SENIOR SERVICES | 262 Tamiami Trl S Ste A, Venice, FL 34285-2449 |
| Ohio Business Entities | COMFORCARE SENIOR SERVICES - TOLEDO | 4930 Holland-sylvania Road, Suite E, Sylvania, OH 43650 |
| System for Award Management (SAM) Entities | COMFORCARE SENIOR SERVICES - YORK COUNTY | 266 West Market St, York, PA 17401-1008 |
| System for Award Management (SAM) Entities | COMFORCARE SENIOR SERVICES PRINCE GEORGES NORTH | 9420 Annapolis Rd Ste 216, Lanham, MD 20706-3092 |
| System for Award Management (SAM) Entities | COMFORCARE SENIOR SERVICES SOUTH ORANGE | 2 Lake St Ste 102, Monroe, NY 10950-3543 |
| Oregon Corporations, Companies and Business Names | COMFORCARE SENIOR SERVICES-SALEM | 3470 Pipebend Pl Ne Ste 100, Salem, OR 97301 |
| System for Award Management (SAM) Entities | COMFORCARE SENIOR SERVICES-SOMERSET | 92 E Main St Ste 305, Somerville, NJ 08876-3395 |
| Street Address |
2003 N PINE ST STE B |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750420618 | Charles Graham | Technician | 4820 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323299 | Natalie E King | Technician | 12718 Winding Ridge Rd, Huntersville, NC 28078-7108 | 2020-07-13 |
| 1366064412 | Freedom LLC | Technician | 27 1st Ave Ne Ste 205, Hickory, NC 28601-6219 | 2020-05-12 |
| 1508404120 | Annette Williams | Technician | 118 Gunn Poole Rd, Mebane, NC 27302-8476 | 2019-12-13 |
| 1811451891 | Jamie Flynn | Technician | 2476 Johnsontown Rd, Thomasville, NC 27360-7596 | 2019-01-24 |
| 1043783517 | Carol Ann Carrodus | Technician | 135 Brevard St, Winston Salem, NC 27101-2204 | 2019-01-08 |
| 1588146013 | Giselle Mumayamona Bwensa | Technician | 21 Hawthorne Ln, Youngsville, NC 27596-2083 | 2018-08-31 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1245756634 | Nykysha Bethea | Technician | 3002 Greystone Pt Apt H, Greensboro, NC 27410-8944 | 2017-08-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.