Provider Demographics
NPI:1275143620
Name:CARE AND COMFORT HOSPICE, INC.
Entity Type:Organization
Organization Name:CARE AND COMFORT HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-854-6525
Mailing Address - Street 1:8374 TOPANGA CANYON BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-2371
Mailing Address - Country:US
Mailing Address - Phone:818-854-6525
Mailing Address - Fax:888-878-7805
Practice Address - Street 1:8374 TOPANGA CANYON BLVD STE 213
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-2371
Practice Address - Country:US
Practice Address - Phone:818-854-6525
Practice Address - Fax:888-878-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAN9852283Medicaid