Comfort 1 Hospice, LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

COMFORT 1 HOSPICE, LLC

Practice address

118 W Edison Rd Ste 200
Mishawaka, IN 46545-3143

Phone

(574) 387-4117

NPI assigned

Apr 14, 2018

Last updated

Aug 21, 2026By 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

Paul Chimutu

Title

Administrator

Phone

(574) 387-4117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861989998. Details of each certification follow.

• CCN 151629 Hospice · Active · Details

Hospice certification: CCN 151629

Legal name

COMFORT 1 HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 6, 2018

Last certification

Nov 6, 2018

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Jun 23, 2017 in IN

Enrollment address

129 S Dixie Way
Ste B
South Bend, IN 46637-3392

Listed as

Comfort 1 Hospice, LLCCCN 151629 · All quality measures

Ownership

Other

Certified

Nov 6, 2018

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 6

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

Owners & managing parties with NPI records 1

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

• Matous Pradny, MD

  • Internal Medicine Physician
  • Saint Joseph, MI
  • NPI 1255535779

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 1

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

• Dahan Hussein Al-Fadhl, M.D.

  • Internal Medicine Physician
  • Mishawaka, IN
  • NPI 1740235183

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1861989998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W EDISON RD STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453143",
            "telephone_number": "574-387-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W EDISON RD STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453143",
            "telephone_number": "574-387-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT 1 HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "CHIMUTU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-387-4117"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Cole, MD
• Michal Cole
• Meghan Collins
• Michele Nicole Collins, M.D.
• Colombe Home Care LLC
• Community Development Corp of Mishawaka, Indiana (Vannoni Living Center)
• Casey Como
• Comprehab, LLC
• Joshua S Conner, O.D.
• Lindsey Marie Connolly, M.D.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.