Provider Demographics
NPI:1568242584
Name:FAMILY COMFORT CARE LLC
Entity Type:Organization
Organization Name:FAMILY COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER JEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEODORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-788-1565
Mailing Address - Street 1:5600 SPRING MOUNTAIN RD STE 106
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8822
Mailing Address - Country:US
Mailing Address - Phone:702-268-7207
Mailing Address - Fax:702-549-7523
Practice Address - Street 1:5600 SPRING MOUNTAIN RD
Practice Address - Street 2:BLDG B., STE 106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8822
Practice Address - Country:US
Practice Address - Phone:702-268-7207
Practice Address - Fax:702-549-7523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based