Organization Active NPI

Forever Comfort Hospice LLC

  • Community Based Hospice Care Agency
  • Carrollton, TX
National Provider Identifier
1780423525
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FOREVER COMFORT HOSPICE LLC
Practice address
1636 Falconet CT
Carrollton, TX 75010-2028
Phone
(469) 631-4004
Fax
(469) 638-9889
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mr. Manoj Abraham
Title
Cfo
Phone
(469) 631-4004

Specialties & licenses 1

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

Addresses

Primary practice location

1636 Falconet CT
Carrollton, TX 75010-2028

Mailing address

1636 Falconet CT
Carrollton, TX 75010-2028
Phone (469) 631-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422000353 TX Part A Provider - Hospice 3375068422 Practice locations: Carrollton, TX

Hospice certification: CCN E21502

Legal name
FOREVER COMFORT HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 17, 2025
Last certification
Oct 17, 2025
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
1636 Falconet CT
Carrollton, TX 75010-2028

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
45D2313118Forever Comfort Hospice LLC1636 Falconet CT, Carrollton, TX 75010Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Rakesh K Saini Individual Contracted Managing EmployeeMD; Dec 4, 2024
Pyari Abraham Individual 5% Or Greater Direct Ownership InterestAdministrator May 10, 2024 50%
W-2 Managing EmployeeAd; May 10, 2024
Manoj Abraham Individual 5% Or Greater Direct Ownership InterestCfo May 10, 2024 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1780423525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 FALCONET CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750102028",
            "telephone_number": "469-631-4004",
            "fax_number": "469-638-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 FALCONET CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750102028",
            "telephone_number": "469-631-4004",
            "fax_number": "469-638-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER COMFORT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-631-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.