Organization Active NPI

Comfort Plus Hospice Inc.

  • Community Based Hospice Care Agency
  • Peoria, IL
National Provider Identifier
1053619734
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002897 Issued in IL
Legal business name
COMFORT PLUS HOSPICE INC.
Practice address
7150 N University St
Peoria, IL 61614-1752
Phone
(309) 620-9821
Fax
(309) 620-9822
NPI assigned
Mar 4, 2011
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Araceli Lear, BSN RN MSHA
Title
Owner
Phone
(309) 620-9821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002897 IL Primary

Addresses

Primary practice location

7150 N University St
Peoria, IL 61614-1752

Mailing address

7150 N University St
Peoria, IL 61614-1752
Phone (309) 620-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110628000335 IL Part A Provider - Hospice 3072791730 Practice locations: Peoria, IL
O20210503002155 IL Part B Supplier - Clinic/Group Practice 3072791730 Receives reassigned benefits from 2 practitioners
Practice locations: Peoria, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053619734. Details of each certification follow.

Hospice certification: CCN 141641

Legal name
COMFORT PLUS HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 3, 2011
Last certification
Nov 3, 2011
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 24, 2011 in IL
Enrollment address
7150 N University St
Peoria, IL 61614-1752

Care Compare: Hospice

Medicare Care Compare
Listed as
Comfort Plus Hospice IncCCN 141641 · All quality measures
Ownership
For-Profit
Certified
Nov 3, 2011
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
14D2021346Comfort Plus Hospice7150 N University, Peoria, IL 61614Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2400 N 8th St
Pekin, IL 61554
Phone (309) 620-9821

Ownership & related parties

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.

NameRoleSinceShare
Care Solutions of Illinois Inc Organization, Morton, IL Operational/Managerial Control Feb 10, 2011
Comfort Plus Hospice Inc Organization, Peoria, IL Corporation Other Mar 1, 2024
Araceli Lear Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 10, 2011
Corporate Director Feb 10, 2011
W-2 Managing Employee Feb 10, 2011
Ziad a Musaitif Individual W-2 Managing EmployeeMD; Mar 1, 2024

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1053619734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141752",
            "telephone_number": "309-620-9821",
            "fax_number": "309-620-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141752",
            "telephone_number": "309-620-9821",
            "fax_number": "309-620-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT PLUS HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "LEAR",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-620-9821",
        "authorized_official_credential": "BSN RN MSHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.