Provider Demographics
NPI:1417351370
Name:COMFORT PROVIDERS GROUP HOSPICE,INC.
Entity Type:Organization
Organization Name:COMFORT PROVIDERS GROUP HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT.
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-392-9188
Mailing Address - Street 1:4943 RENOVO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-1042
Mailing Address - Country:US
Mailing Address - Phone:818-392-9188
Mailing Address - Fax:323-441-0614
Practice Address - Street 1:4943 RENOVO STREET.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032
Practice Address - Country:US
Practice Address - Phone:818-391-9188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based