Organization Active NPI

Comfort Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Garden Grove, CA
National Provider Identifier
1124145099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMFORT HOSPICE CARE, INC.
Practice address
12900 Garden Grove Blvd.
Suite 130
Garden Grove, CA 92843
Phone
(714) 638-8846
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd Nguyen
Title
Administrator
Phone
(714) 638-8846

Specialties & licenses 1

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

Addresses

Primary practice location

12900 Garden Grove Blvd.
Suite 130
Garden Grove, CA 92843

Mailing address

12900 Garden Grove Blvd.
Suite 130
Garden Grove, CA 92843
Phone (714) 638-8846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329000751 CA Part A Provider - Hospice 4587610969 Practice locations: Garden Grove, CA

Hospice certification: CCN 551593

Legal name
COMFORT HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 16, 2010
Last certification
Mar 17, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 12, 2005 in CA
Enrollment address
12900 Garden Grove Blvd 130
Garden Grove, CA 92843-2006

Care Compare: Hospice

Medicare Care Compare
Listed as
Comfort Hospice Care, IncCCN 551593
Ownership
For-Profit
Certified
Apr 16, 2010
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
05D1042570Comfort Hospice Care Inc12900 Garden Grove Blvd Ste 130, Garden Grove, CA 92843Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

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
Marina Montoya Individual W-2 Managing EmployeeDirector of Nursing Services Mar 1, 2015 45%
Khanh Bao Nguyen Individual Contracted Managing Employee Mar 1, 2005
Hung Nguyen Individual General Partnership InterestQuality Assurance Oct 9, 2014 40%
Todd Nguyen Individual 5% Or Greater Direct Ownership InterestPresident Jan 12, 2005 100%
Corporate Director Apr 18, 2005
W-2 Managing Employee Jan 12, 2005

Owners & managing parties with NPI records 2

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124145099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 GARDEN GROVE BLVD.",
            "address_2": "SUITE 130",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-638-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 GARDEN GROVE BLVD.",
            "address_2": "SUITE 130",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-638-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-638-8846"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.