COMMUNITY COMFORT CARE LLC


Address: 3736 Richard Ave, Fairfax, VA 22031-3535
Phone: 7032779640

COMMUNITY COMFORT CARE LLC (NPI# 1790321800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790321800
Entity Type Organization
Organization Name COMMUNITY COMFORT CARE LLC
Practice Address 3736 Richard Ave
Fairfax
VA 22031-3535
Mailing Address 11202 Marwood Hill Dr
Potomac
MD 20854-1241
Practice Telephone 7032779640
Enumeration Date 2019-11-24
Last Update Date 2019-11-24
Authorized Official Name ANDRE TCHOUKOUAHA (OWNER/CEO)
Authorized Official Telephone 7032779640
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023641966 Community Comfort Care LLC Registered Nurse 227a Mall Office Complex, Monroeville, PA 15146-2243 2020-02-19

Office Location

Street Address 3736 RICHARD AVE
City FAIRFAX
State VA
Zip Code 22031-3535

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770196339 Jilly Healthcare Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4145 Lenox Dr, Fairfax, VA 22032-1112 2020-08-24
1790317105 Zrahil Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10905 Fairchester Dr, Fairfax, VA 22030-4807 2020-02-04
1609410273 Hands of Mercy Group Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12783 Cruz Ct, Fairfax, VA 22030-7283 2019-11-06
1114400157 Divine Supports & Homes Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13005 Maepine Ct, Fairfax, VA 22033-3130 2018-09-14
1568965333 William Henry Barnes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3112 Plantation Pkwy, Fairfax, VA 22030-2118 2018-03-17
1427400050 Compassionate Care Group Homes, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4413 San Carlos Dr, Fairfax, VA 22030-5372 2016-07-07
1922191121 Community Living Alternatives, Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9401 Lee Hwy, Suite 406, Fairfax, VA 22031-1849 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134729213 Saint Claire Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 2020-10-28
1780283275 Great Day Residential Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 2020-10-26
1306451448 Nikita S Banks Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 2020-09-15
1396359576 Best Hope Community Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9662 Hawkshead Dr, Lorton, VA 22079-2786 2020-09-03
1609489038 Viana Healthcare Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8205 Mockingbird Dr, Annandale, VA 22003-3713 2020-08-25
1225640279 Guardian Angels Homecare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1116 Pin Oak Drive, Suffolk, VA 23434-2343 2020-08-20
1659993079 Collaborative Community LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6000 Filbert Ct, Springfield, VA 22152-1609 2020-05-07
1356962252 Intellectual Services Group, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4813 Integrity Ct, Fredericksburg, VA 22408-1891 2020-05-01
1699394346 Peace of Mind Residential Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Pinehurst Ln, Stafford, VA 22554-7288 2020-04-13
1487282729 Eye Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 721 Cabin Creek Dr, Hopewell, VA 23860-5350 2020-03-31
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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