Provider Demographics
NPI:1003625856
Name:COMFORTBRIDGE HEALTHCARE LLC
Entity type:Organization
Organization Name:COMFORTBRIDGE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADETOLASE
Authorized Official - Middle Name:OLUWASEUN
Authorized Official - Last Name:AYUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-818-9281
Mailing Address - Street 1:28923 YUKON RIVER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5593
Mailing Address - Country:US
Mailing Address - Phone:346-818-9281
Mailing Address - Fax:
Practice Address - Street 1:28923 YUKON RIVER CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5593
Practice Address - Country:US
Practice Address - Phone:346-818-9281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty