Provider Demographics
NPI:1578631081
Name:COMFORT CARE HOSPICE, LLC
Entity Type:Organization
Organization Name:COMFORT CARE HOSPICE, LLC
Other - Org Name:CARE ALTERNATIVES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:KOLMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-9068
Mailing Address - Street 1:70 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3510
Mailing Address - Country:US
Mailing Address - Phone:908-931-9068
Mailing Address - Fax:908-931-9081
Practice Address - Street 1:70 JACKSON DR
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3510
Practice Address - Country:US
Practice Address - Phone:908-931-9068
Practice Address - Fax:908-931-9081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22846251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8809704Medicaid
NJ8809704Medicaid