# CKCTB, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Keepers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790037216
- **Authorized official:** MR. TOM DEAN (OWNER)
- **Authorized official phone:** (239) 590-8999

## Contact information

- **Practice address:** 12493 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5693
- **Practice address phone:** (239) 590-8999
- **Practice address fax:** (239) 590-8992
- **Mailing address:** 12493 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5693
- **Mailing address phone:** (239) 590-8999
- **Mailing address fax:** (239) 590-8992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992995 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 299992995 | FL | — |
| 302F00000X | Exclusive Provider Organization | 299992995 | FL | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 08/21/2013