# COMFORT COVENANT HOME CARE LLC

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

## Provider details

- **NPI number:** 1952890790
- **Authorized official:** DOMINIQUE BROUNSON (CEO)
- **Authorized official phone:** (205) 335-7777

## Contact information

- **Practice address:** 3039 N POST RD STE 1356, INDIANAPOLIS, IN 46226-6543
- **Practice address phone:** (205) 335-7777
- **Mailing address:** 16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
- **Mailing address phone:** (205) 335-7777

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 01/28/2025
