COUNTRY COMFORT CARE, INC. (NPI# 1063752632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063752632 |
| Entity Type | Organization |
| Organization Name | COUNTRY COMFORT CARE, INC. |
| Practice Address |
15340 Mallory Ln Clermont FL 34715-8708 |
| Practice Telephone | 4074692151 |
| Mailing Telephone | 4074692151 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | KUMARI ARJUNE (OWNER) |
| Authorized Official Telephone | 4073418664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12290 | FL | Nursing & Custodial Care Facilities |
| Street Address |
15340 MALLORY LN |
| City | CLERMONT |
| State | FL |
| Zip Code | 34715-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147811 | Sharon George | Physical Therapy Assistant | 301 Us-27 N, Minneola, FL 34715 | 2020-09-01 |
| 1689133290 | Mohawk Surgery Center LLC | Clinic/Center | 201 Mohawk Rd, Minneola, FL 34715 | 2019-03-14 |
| 1518489970 | Blake Desenti | Student in an Organized Health Care Education/Training Program | 819 Park Trail Drive, Minneola, FL 34715 | 2017-07-07 |
| 1265855217 | John Geron Rogers | Counselor | 506 S. Hwy 27, Ste N, Minneola, FL 34715 | 2014-01-28 |
| 1609217132 | Linda Jean Thomas | Speech-Language Pathologist | 20444 Sugarloaf Mountain Road, Clermont, FL 34715 | 2013-07-12 |
| 1164783833 | Richard Doiron | Physical Therapy Assistant | 236 Mohawk Road, Clermont, FL 34715 | 2012-05-30 |
| 1194023283 | Simon James Mitchell | Speech-Language Pathologist | 200 C S Hwy 27, Clermont, FL 34715 | 2011-03-14 |
| 1134438864 | Minneola Chiropractic LLC | Chiropractor | 600 N Us Highway 27, Suite 2, Minneola, FL 34715 | 2010-09-29 |
| 1013238740 | Kingdom Building Services LLC | Community/Behavioral Health | 833 Willow Run St, Suite A, Minneola, FL 34715 | 2010-06-16 |
| 1033353313 | Orvil Luis Ayala | Anesthesiology | 240 Mohawk Rd, Clermont, FL 34715 | 2009-04-30 |
| Find all providers in zip 34715 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855426 | Alisa Lewis | Assisted Living Facility | 215 Pleasant Hill Dr, Clermont, FL 34711-2741 | 2020-09-15 |
| 1760043871 | Doralus Homecare Alf | Assisted Living Facility | 1441 13th St, Clermont, FL 34711-2878 | 2019-06-28 |
| 1801351770 | Supreme Senior Living, LLC | Assisted Living Facility | 502 Southridge Rd Fl 34711usa, Clermont, FL 34711-6487 | 2019-02-05 |
| 1508257023 | Crane's View Lodge LLC | Assisted Living Facility | 1601 Hook St, Clermont, FL 34711-3510 | 2015-02-06 |
| 1750784229 | Lakeshore Manor, LLC | Assisted Living Facility | 960 W Lakeshore Dr, Clermont, FL 34711-2932 | 2014-09-29 |
| 1639587108 | Indian Shore Manor, LLC | Assisted Living Facility | 1611 Indian Shore Dr, Clermont, FL 34711-2981 | 2014-07-29 |
| 1023227865 | Summerville At Oak Park, LLC | Assisted Living Facility | 650 East Minnehaha Avenue, Clermont, FL 34711 | 2007-05-21 |
| 1629608013 | Clermont1818 Opco, LLC | Assisted Living Facility | 650 E Minnehaha Ave, Clermont, FL 34711-3445 | 2020-01-24 |
| 1982194494 | H-bay Ministries, Inc. | Assisted Living Facility | 1600 Hunt Trace Blvd, Clermont, FL 34711-5184 | 2018-05-10 |
| 1255752911 | Clermont Alf Investors, LLC | Assisted Living Facility | 1600 Hunt Trace Blvd, Clermont, FL 34711-5184 | 2013-12-26 |
| Find all providers in CLERMONT | ||||
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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.