Provider Demographics
NPI:1821017781
Name:FAMILY COMFORT HOSPICE LLC
Entity Type:Organization
Organization Name:FAMILY COMFORT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCMURRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:205-502-5959
Mailing Address - Street 1:341 WALKER CHAPEL PLAZA
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FULTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35068
Mailing Address - Country:US
Mailing Address - Phone:205-502-5959
Mailing Address - Fax:205-502-5966
Practice Address - Street 1:341 WALKER CHAPEL PLAZA
Practice Address - Street 2:SUITE 105
Practice Address - City:FULTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35068
Practice Address - Country:US
Practice Address - Phone:205-502-5959
Practice Address - Fax:205-502-5966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL011684251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1027949OtherUNITED HEALTH CARE
ALPIC1637EMedicaid
AL012574OtherBLUE CROSS & BLUE SHIELD
ALPIC1637EMedicaid