Comfort Quest Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMFORT QUEST HOSPICE, INC.

Practice address

1109 W San Bernardino Rd Ste 220
Covina, CA 91722-4166

Phone

(626) 364-7378

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By 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

Mr. Sebastian Mendoza

Title

President

Phone

(626) 364-7378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811587058. Details of each certification follow.

• CCN D61550 Hospice · Active · Details

Hospice certification: CCN D61550

Legal name

COMFORT QUEST HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 22, 2024

Last certification

Aug 2, 2024

Organization structure

CorporationProprietary

Incorporated

Jul 2, 2020 in CA

Enrollment address

1109 W San Bernardino Rd
Ste 220
Covina, CA 91722-4166

Listed as

Comfort Quest Hospice, Inc.CCN D61550 · All quality measures

Certified

Aug 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Prasert Basil Vassantachart, MD

  • General Practice Physician
  • Alhambra, CA
  • NPI 1295720050

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1811587058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W SAN BERNARDINO RD STE 220",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917224166",
            "telephone_number": "626-364-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W SAN BERNARDINO RD STE 220",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917224166",
            "telephone_number": "626-364-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT QUEST HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-364-7378",
        "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": []
}

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• Community Based Hospice Care Agency in Covina, CA
• Providers in Covina, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.