Comfort Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMFORT HOSPICE INC

Practice address

2025 N Glenoaks Blvd Ste 201B
Burbank, CA 91504-2809

Phone

(818) 238-0087

Fax

(818) 238-9889

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Agnes Tan

Title

Cfo

Phone

(818) 238-0087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033528898. Details of each certification follow.

• CCN 921574 Hospice · Active · Details

Hospice certification: CCN 921574

Legal name

COMFORT HOSPICE INC

Doing business as

VIRTUS HEALTHCARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 30, 2016

Last certification

Aug 28, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

1635 Chelsea Rd
San Marino, CA 91108-2456

Listed as

Comfort Hospice, IncCCN 921574 · All quality measures

Ownership

For-Profit

Certified

Sep 30, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Renita Jejuan Pullens, D.O.

  • General Practice Physician
  • Sherman Oaks, CA
  • NPI 1093791667

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Raef Mounir Elsanadi, MD

  • Internal Medicine Physician
  • Ladera Ranch, CA
  • NPI 1487744819

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1033528898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N GLENOAKS BLVD STE 201B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042809",
            "telephone_number": "818-238-0087",
            "fax_number": "818-238-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N GLENOAKS BLVD STE 201B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042809",
            "telephone_number": "818-238-0087",
            "fax_number": "818-238-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-238-0087",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Liane Caryl Colsky, M.D.
• Comcare Primary Medical Group a California General Partnership
• Comfort Home Care Hospice
• Comfort Hospice Care of Burbank, Inc.
• Comfort Shoes Providers, Inc.
• Comfort-Focused Hospice Care, Inc.
• Community Labs, Inc.
• Virginia Anne Compagna-Doll, PHD
• Compass Medical Transportation Inc

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.