# COMFORTCARE HOMES OF PITTSBURG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164836540
- **Authorized official:** ALISHIA WINDSOR CNA,CMA,CDP, OPER. (OWNER/OPERATOR)
- **Authorized official phone:** (620) 308-6520

## Contact information

- **Practice address:** 704 LAKEVIEW DR., 704 LAKEVIEW DR., PITTSBURG, KS 66762-6149
- **Practice address phone:** (620) 308-6520
- **Mailing address:** 803 LAKEVIEW DR, PITTSBURG, KS 66762-6149
- **Mailing address phone:** (620) 308-6520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 201089820A | KS | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 04/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201089820A | — | KS |
| 05 | — | 201289820B | — | KS |