MEDICARE: COMFORT AND MERCY 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	:	1053902064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT AND MERCY HOSPICE, INC.

Provider Business Mailing Address
First Line	:	2785 E DESERT INN RD STE 145
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3699
Country	:	US
Telephone Number	:	760-220-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	2785 E DESERT INN RD STE 145
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3699
Country	:	US
Telephone Number	:	760-220-1991
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ISABELLE SABALONES
Credential	:
Telephone Number	:	760-220-1991

Provider Enumeration Date	:	02/02/2021
Last Update Date	:	02/02/2021

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