Healthcare Provider Details

I. General information

NPI: 1477211555
Provider Name (Legal Business Name): COMFORT HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6621 N FRANCISCO AVE
CHICAGO IL
60645-4305
US

IV. Provider business mailing address

6621 N FRANCISCO AVE
CHICAGO IL
60645-4305
US

V. Phone/Fax

Practice location:
  • Phone: 732-904-3643
  • Fax:
Mailing address:
  • Phone: 732-904-3643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: YISROEL LEVOVITZ
Title or Position: CEO
Credential:
Phone: 732-904-3643