# KODIAK CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComForCare In Home Care - Southern Weld and Boulder Counties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386264026
- **Authorized official:** CHARLES W. NEW JR. (OWNER/PRESIDENT)
- **Authorized official phone:** (303) 915-9848

## Contact information

- **Practice address:** 451 OAK ST STE 207, FREDERICK, CO 80530-7015
- **Practice address phone:** (720) 738-0044
- **Practice address fax:** (720) 738-0045
- **Mailing address:** PO BOX 932, FREDERICK, CO 80530-0932
- **Mailing address phone:** (303) 915-9848
- **Mailing address fax:** (720) 738-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2020
- **Last updated:** 06/13/2023