Comfort Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMFORT HOSPICE LLC

Practice address

6440 Flying Cloud Dr Ste 114
Eden Prairie, MN 55344-3321

Phone

(952) 884-1800

Fax

(844) 829-7747

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Regine Ndifor

Title

Admin

Phone

(617) 413-4952

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1407412430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44044",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441044",
            "telephone_number": "952-492-9039",
            "fax_number": "844-829-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 FLYING CLOUD DR STE 114",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443321",
            "telephone_number": "952-884-1800",
            "fax_number": "844-829-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Flying Cloud Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553443321",
            "country_code": "US",
            "telephone_number": "952-884-1800",
            "fax_number": "844-829-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "NDIFOR",
        "authorized_official_first_name": "REGINE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "617-413-4952"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407412430",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ndiforg74@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "hospice care",
            "address_1": "10259 Englewood Dr",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553474623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "endpointDescription": "hospice care",
            "address_1": "6440 Flying Cloud Dr Ste 114",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553443321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "6440 Flying Cloud Dr Ste 114",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553443321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.