MEDICARE: ALASAN COMFORT CARE, 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	:	1871119263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALASAN COMFORT CARE, INC.

Provider Business Mailing Address
First Line	:	10518 KIPP WAY DR STE A1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-2400
Country	:	US
Telephone Number	:	281-564-4503
Fax Number	:	281-564-4505

Provider Business Practice Location Address
First Line	:	10518 KIPP WAY DR STE A1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-2400
Country	:	US
Telephone Number	:	281-564-4503
Fax Number	:	281-564-4505

Authorized Official
Title or Position	:	DON/OWNER
Name	:	SUSAN SANTOS
Credential	:	RN
Telephone Number	:	832-462-4555

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	06/22/2020

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