Provider Demographics
NPI:1144881145
Name:MY COMFORT CARE, LLC
Entity type:Organization
Organization Name:MY COMFORT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OUATTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-550-3118
Mailing Address - Street 1:504 HAWKESBURY LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6308
Mailing Address - Country:US
Mailing Address - Phone:301-682-1045
Mailing Address - Fax:301-576-5173
Practice Address - Street 1:10410 KENSINGTON PKWY STE 109
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2950
Practice Address - Country:US
Practice Address - Phone:301-685-6085
Practice Address - Fax:301-888-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty