Provider Demographics
NPI:1780979559
Name:COMFORTCARE HOMES OF BALDWIN CITY, LLC
Entity type:Organization
Organization Name:COMFORTCARE HOMES OF BALDWIN CITY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-594-2603
Mailing Address - Street 1:622 HIGH STREET, PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:BALDWIN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66006
Mailing Address - Country:US
Mailing Address - Phone:785-594-2603
Mailing Address - Fax:785-594-0289
Practice Address - Street 1:424 WASHINGTON
Practice Address - Street 2:
Practice Address - City:BALDWIN CITY
Practice Address - State:KS
Practice Address - Zip Code:66006
Practice Address - Country:US
Practice Address - Phone:785-594-2603
Practice Address - Fax:785-594-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB023014311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)