Organization Active NPI

Comfort Assisting Hospice, Inc.

  • Community Based Hospice Care Agency
  • Milpitas, CA
National Provider Identifier
1083089767
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMFORT ASSISTING HOSPICE, INC.
Practice address
830 Hillview CT Ste 245
Milpitas, CA 95035-4563
Phone
(510) 460-1102
Fax
(408) 503-0020
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1369

Specialties & licenses 1

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

Addresses

Primary practice location

830 Hillview CT Ste 245
Milpitas, CA 95035-4563

Mailing address

830 Hillview CT Ste 245
Milpitas, CA 95035-4563
Phone (510) 460-1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

830 Hillview Ct
Ste 245
Milpitas, CA 95035
Phone (510) 460-1102

112 La Casa Via
Ste 175
Walnut Creek, CA 94598
Phone (925) 522-9885

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2019 Change of OwnershipThis provider was the seller Sequoia HospiceCCN 921794, CA, NPI 1679043814

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1083089767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 HILLVIEW CT STE 245",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354563",
            "telephone_number": "510-460-1102",
            "fax_number": "408-503-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HILLVIEW CT STE 245",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354563",
            "telephone_number": "510-460-1102",
            "fax_number": "408-503-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT ASSISTING HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.