MEDICARE: COMFORT CARE HOSPICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1316597024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CARE HOSPICE INC

Provider Business Mailing Address
First Line	:	6140 COLEY AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5211
Country	:	US
Telephone Number	:	725-214-7406
Fax Number	:	725-204-6343

Provider Business Practice Location Address
First Line	:	6140 COLEY AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5211
Country	:	US
Telephone Number	:	725-214-7406
Fax Number	:	725-204-6343

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MR. CHRISTOPHER J LARKIN
Credential	:
Telephone Number	:	725-214-7406

Provider Enumeration Date	:	09/14/2019
Last Update Date	:	02/09/2022

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