COMFORCARE SENIOR SERVICES NPI 1053497404

NPI Information

  • NPI: 1053497404
  • Provider Name: COMFORCARE SENIOR SERVICES
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Organization
  • Former Legal Business Name: SOUTHEASTERN HOME HEALTH CARE SERVICES, INC.
  • Address: 2003 N PINE ST STE B
    LUMBERTON, NC
    ZIP 28358
  • Phone: (910) 272-0121

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NPI Details

COMFORCARE SENIOR SERVICES is a personal care attendant technician in Lumberton, NC. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards COMFORCARE SENIOR SERVICES NPI is 1053497404. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southeastern Home Health Care Services, Inc..

The provider's business location address is:

2003 N PINE ST STE B
LUMBERTON, NC
ZIP 28358-935
Phone: (910) 272-0121
Fax: (910) 272-0141

The provider's authorized official is Diane Surgeon .
The authorized official title is Ceo and has the following contact phone number (910) 272-0121.

The enumeration date for this NPI number is 10/28/2006 and was last updated on 1/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
23747P1801XTechnicianPersonal Care AttendantHC3342NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16601465MEDICAIDNORTH CAROLINA
28301840BMEDICAIDNORTH CAROLINA
38301840MEDICAIDNORTH CAROLINA
48301840GMEDICAIDNORTH CAROLINA
53418102MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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