Healthcare Provider Details

I. General information

NPI: 1578997003
Provider Name (Legal Business Name): CARE AND COMFORT HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 07/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COMMERCE DRIVE
CRANFORD NJ
07016
US

IV. Provider business mailing address

20 COMMERCE DRIVE
CRANFORD NJ
07016
US

V. Phone/Fax

Practice location:
  • Phone: 646-772-3668
  • Fax: 718-228-7837
Mailing address:
  • Phone: 646-772-3668
  • Fax: 718-228-7837

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: MR. EPHRAM M LAHASKY
Title or Position: PRESIDENT/MEMBER
Credential:
Phone: 646-772-3668