Provider Demographics
NPI:1932160751
Name:COMFORT CARE HOSPICE AND HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:COMFORT CARE HOSPICE AND HEALTHCARE SERVICES LLC
Other - Org Name:COMFORT CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CONNER
Authorized Official - Last Name:BARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:225-385-4202
Mailing Address - Street 1:23827 EDEN STREET
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70765-3315
Mailing Address - Country:US
Mailing Address - Phone:225-385-4202
Mailing Address - Fax:225-385-4203
Practice Address - Street 1:23827 EDEN STREET
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70765-3315
Practice Address - Country:US
Practice Address - Phone:225-385-4202
Practice Address - Fax:225-385-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA191624Medicare Oscar/Certification