Provider Demographics
NPI:1518760529
Name:COMFORT HAVEN AND HEALTH LLC
Entity type:Organization
Organization Name:COMFORT HAVEN AND HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOONST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-871-2292
Mailing Address - Street 1:2567 98TH ST NE
Mailing Address - Street 2:
Mailing Address - City:DUNSEITH
Mailing Address - State:ND
Mailing Address - Zip Code:58329-9409
Mailing Address - Country:US
Mailing Address - Phone:701-871-2292
Mailing Address - Fax:
Practice Address - Street 1:2567 98TH ST NE
Practice Address - Street 2:
Practice Address - City:DUNSEITH
Practice Address - State:ND
Practice Address - Zip Code:58329-9409
Practice Address - Country:US
Practice Address - Phone:701-871-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency