Organization Active NPI

Knights of Comfort Hospice L.L.C.

  • Community Based Hospice Care Agency
  • Fort Worth, TX
National Provider Identifier
1043673585
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KNIGHTS OF COMFORT HOSPICE L.L.C.
Practice address
10412 Bear Creek TRL
Fort Worth, TX 76244-6515
Phone
(817) 494-0500
Fax
(817) 494-0500
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Mr. Waldfeld Phillip Rios, RN, BSNNPI 1679055750
Title
Owner
Phone
(817) 494-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

10412 Bear Creek TRL
Fort Worth, TX 76244-6515

Mailing address

10412 Bear Creek TRL
Fort Worth, TX 76244-6515
Phone (817) 494-0500

Other names 1

  • KNIGHTS OF COMFORT, KNIGHTS OF COMFORT HOSPICE, CABALLEROS DE CONSUELO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411002915 TX Part A Provider - Hospice 6002199387 Practice locations: Fort Worth, TX

Hospice certification: CCN 971530

Legal name
KNIGHTS OF COMFORT HOSPICE L.L.C.
Doing business as
KNIGHTS OF COMFORT
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 16, 2019
Last certification
Oct 16, 2019
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
10412 Bear Creek TRL
Fort Worth, TX 76244-6515

Care Compare: Hospice

Medicare Care Compare
Listed as
Knights of ComfortCCN 971530
Ownership
For-Profit
Certified
Oct 16, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2127515Knights of Comfort Hospice, LLC10412 Bear Creek Trail, Fort Worth, TX 76244Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Alexander Peralta Individual W-2 Managing EmployeeMD; Aug 28, 2025
Waldfeld Rios Individual 5% Or Greater Direct Ownership Interest Mar 23, 2016 98%
Corporate DirectorOwner, Board Member, President Mar 23, 2016 25%
W-2 Managing EmployeeAd;HR Manager Mar 23, 2016 100%
Ludwingk Rios Individual 5% Or Greater Direct Ownership Interest Mar 16, 2016 1%
Corporate DirectorAlternate Corporate Director Mar 23, 2016 25%
Ramses Rios Individual 5% Or Greater Direct Ownership Interest Mar 23, 2016 1%
Corporate DirectorOwner, Board Member, Treasurer Mar 23, 2016 25%
Tammy Wilcox Individual Corporate DirectorBoard Member, Secretary Mar 23, 2016

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1043673585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 BEAR CREEK TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446515",
            "telephone_number": "817-494-0500",
            "fax_number": "817-494-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 BEAR CREEK TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446515",
            "telephone_number": "817-494-0500",
            "fax_number": "817-494-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS OF COMFORT HOSPICE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "WALDFELD",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-494-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNIGHTS OF COMFORT, KNIGHTS OF COMFORT HOSPICE, CABALLEROS DE CONSUELO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.