Comforter Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMFORTER HOSPICE INC

Practice address

1102 San Fernando Rd Ste 210
San Fernando, CA 91340-3299

Phone

(818) 855-9597

Fax

(858) 293-5022

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Nerses Patanyan

Title

Ceo

Phone

(818) 855-9597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31703

Legal name

COMFORTER HOSPICE INC

Doing business as

SOCAL PREMIUM HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 15, 2021

Last certification

Dec 15, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

16661 Ventura Blvd
Ste 213
Encino, CA 91436-1940

Listed as

Socal Premium Hospice CareCCN B31703

Certified

Dec 15, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

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

• Joseph Castrejon, MD

  • Family Medicine Physician
  • Vista, CA
  • NPI 1568486710

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1053926311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SAN FERNANDO RD STE 210",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403299",
            "telephone_number": "818-855-9597",
            "fax_number": "858-293-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SAN FERNANDO RD STE 210",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403299",
            "telephone_number": "818-855-9597",
            "fax_number": "858-293-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTER HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "PATANYAN",
        "authorized_official_first_name": "NERSES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-855-9597"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Clement, D.P.M.
• Coastal Neurological Medical Center Inc.
• Adriana Cobian, N.P.
• Monika Coello, BCBA
• Thomas James Colivas, P.A.
• Alexis L Cone
• Orquidia Esmeralda Cordova
• Sierra Celeste Cordova
• Marisabel Cristina Correa, DMD
• Elizabeth Corte, RBT

• Community Based Hospice Care Agency in San Fernando, CA
• Providers in San Fernando, 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 Sep 14, 2020; 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.