MEDICARE: COMFORT HOSPICE CARE LLC

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	:	1225786601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	22511 TELEGRAPH RD STE 214
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-4108
Country	:	US
Telephone Number	:	248-973-7336
Fax Number	:	248-856-9348

Provider Business Practice Location Address
First Line	:	22511 TELEGRAPH RD STE 214
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-4108
Country	:	US
Telephone Number	:	248-973-7336
Fax Number	:	248-856-9348

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SAAD KHAN
Credential	:
Telephone Number	:	248-973-7336

Provider Enumeration Date	:	03/14/2022
Last Update Date	:	03/14/2022

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