Provider Demographics
NPI:1114474418
Name:FAMILY COMFORT PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:FAMILY COMFORT PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-745-3015
Mailing Address - Street 1:7975 N HAYDEN RD
Mailing Address - Street 2:SUITE A200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7975 N HAYDEN RD
Practice Address - Street 2:SUITE A200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3246
Practice Address - Country:US
Practice Address - Phone:480-745-3015
Practice Address - Fax:480-745-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based