Comfort Care Hospice Providers

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMFORT CARE HOSPICE PROVIDERS

Practice address

2139 Tapo St Ste 208
Simi Valley, CA 93063-3476

Phone

(805) 791-3055

Fax

(805) 791-3059

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Keon Mardanpour

Title

Ceo

Phone

(805) 888-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51749

Legal name

COMFORT CARE HOSPICE PROVIDERS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 15, 2021

Last certification

Oct 22, 2021

Organization structure

CorporationProprietary

Incorporated

Aug 19, 2014 in CA

Enrollment address

2139 Tapo St
Ste 209
Simi Valley, CA 93063-3476

Listed as

Comfort Care Hospice ProvidersCCN B51749 · All quality measures

Certified

Nov 15, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

• Farid Azizollahi, MD

  • Family Medicine Physician
  • Beverly Hills, CA
  • NPI 1649328519

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1932501814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 208",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-888-5900",
            "fax_number": "805-624-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 208",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-791-3055",
            "fax_number": "805-791-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE HOSPICE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MARDANPOUR",
        "authorized_official_first_name": "KEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-888-5900",
        "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": []
}

• Joseph Collins, LMFT 138560
• Luv Collins, P.T.A.
• Jeanne M Colon
• Michael Timothy Colton, M.A.,LMFT
• Kevin Richard Colwell, M.D.
• Comfort Home Health Inc.
• Comforting Care Hospice, Inc.
• Lynn Comley, MA, MFT
• Community Medical Group Inc
• Community Medical Group Inc

• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 Mar 12, 2024; 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.