Provider Demographics
NPI:1144325689
Name:COMFORT CARE MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:COMFORT CARE MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARDETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-491-9500
Mailing Address - Street 1:PO BOX 10806
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33061-6806
Mailing Address - Country:US
Mailing Address - Phone:954-491-9500
Mailing Address - Fax:954-491-9585
Practice Address - Street 1:609 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6343
Practice Address - Country:US
Practice Address - Phone:954-491-9500
Practice Address - Fax:954-491-9585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL950546600Medicaid
FL0663590001Medicare NSC