Provider Demographics
NPI:1043673585
Name:KNIGHTS OF COMFORT HOSPICE L.L.C.
Entity Type:Organization
Organization Name:KNIGHTS OF COMFORT HOSPICE L.L.C.
Other - Org Name:KNIGHTS OF COMFORT, KNIGHTS OF COMFORT HOSPICE, CABALLEROS DE CONSUELO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALDFELD
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:817-494-0500
Mailing Address - Street 1:10412 BEAR CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6515
Mailing Address - Country:US
Mailing Address - Phone:817-494-0500
Mailing Address - Fax:817-494-0500
Practice Address - Street 1:10412 BEAR CREEK TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6515
Practice Address - Country:US
Practice Address - Phone:817-494-0500
Practice Address - Fax:817-494-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based