NPIMap

Organization Active NPI

Family Comfort Care LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1568242584
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAMILY COMFORT CARE LLC
Practice address
3750 S Jones Blvd Ste 130
Las Vegas, NV 89103-2209
Phone
(702) 268-7207
Fax
(702) 549-7523
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Peter Jeorge Teodoro
Title
Administrator
Phone
(562) 788-1565

Specialties & licenses 1

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

Addresses

Primary practice location

3750 S Jones Blvd Ste 130
Las Vegas, NV 89103-2209

Mailing address

3750 S Jones Blvd Ste 130
Las Vegas, NV 89103-2209
Phone (702) 268-7207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313003683 NV Part A Provider - Hospice 0648792101 Practice locations: Las Vegas, NV

Hospice certification: CCN 291713

Legal name
FAMILY COMFORT CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 7, 2025
Last certification
Jun 11, 2025
Organization structure
LLCProprietary
Enrollment address
3750 S Jones Blvd
Ste 130
Las Vegas, NV 89103-2209

Care Compare: Hospice

Medicare Care Compare
Listed as
Family Comfort Care LLCCCN 291713
Certified
Jul 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Peter Teodoro Individual 5% Or Greater Direct Ownership InterestAdministrator Oct 31, 2023 25%
Ryan Huang Individual Contracted Managing EmployeeMD; Apr 10, 2024
Elizabeth a Otte Individual 5% Or Greater Direct Ownership InterestAlternate Administrator Sep 8, 2023 25%
Operational/Managerial ControlAlternate Administrator Oct 31, 2023 25%
Maria Elaine Estepa Individual 5% Or Greater Direct Ownership InterestDirector of Patient Care Services Oct 31, 2023 25%
Maria Camantigue Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Oct 31, 2023 25%

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 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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1568242584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032209",
            "telephone_number": "702-268-7207",
            "fax_number": "702-549-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032209",
            "telephone_number": "702-268-7207",
            "fax_number": "702-549-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "TEODORO",
        "authorized_official_first_name": "PETER JEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-788-1565"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.