Comfort Care Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMFORT CARE HOSPICE LLC

Practice address

1905 S Haggerty Rd Ste 1
Canton, MI 48188-2025

Phone

(734) 945-2832

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ammar Khan

Title

Owner

Phone

(734) 945-2832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710688320. Details of each certification follow.

• CCN 231725 Hospice · Active · Details

Hospice certification: CCN 231725

Legal name

COMFORT CARE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 6, 2024

Last certification

Jun 20, 2024

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Mar 17, 2023 in MI

Enrollment address

1905 S Haggerty Rd
Ste 1
Canton, MI 48188-2025

Listed as

Comfort Care Hospice, LLCCCN 231725 · All quality measures

Certified

Jul 6, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 3

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

• Jaber Ali Abdo, D.O.

  • General Practice Physician
  • Detroit, MI
  • NPI 1528416211

  Hospice

  Care Compare affiliation
• Abdulla Abdel Hafeez

  • Geriatric Medicine (Internal Medicine) Physician
  • Dearborn, MI
  • NPI 1265663751

  Hospice

  Care Compare affiliation
• Tamber Townsend

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lathrup Village, MI
  • NPI 1457890618
  Care Compare affiliation

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1710688320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S HAGGERTY RD STE 1",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882025",
            "telephone_number": "734-945-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S HAGGERTY RD STE 1",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882025",
            "telephone_number": "734-945-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-945-2832"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John R Collop, DO
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• Community Based Hospice Care Agency in Canton, MI
• Providers in Canton, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.