Provider Demographics
NPI:1134738131
Name:CONSOLE, COMFORT & CARE LLC
Entity type:Organization
Organization Name:CONSOLE, COMFORT & CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES-KAALUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-232-0007
Mailing Address - Street 1:27 MANSFORD DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23664-1019
Mailing Address - Country:US
Mailing Address - Phone:757-232-0007
Mailing Address - Fax:
Practice Address - Street 1:711 COMSTOCK ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4241
Practice Address - Country:US
Practice Address - Phone:757-232-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-26
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty