COMFORT HOSPICE OF MISSOURI LLC NPI 1588923759

NPI Information

NPI: 1588923759
Provider Name: COMFORT HOSPICE OF MISSOURI, LLC

Doing Business As: COMFORT HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 26D2042311

Address:
8706 MANCHESTER RD
STE 102
ST. LOUIS, MO
ZIP 63144
Phone: (314) 266-0950
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COMFORT HOSPICE OF MISSOURI, LLC is a hospice care community based in St. Louis, MO. COMFORT HOSPICE OF MISSOURI, LLC NPI is 1588923759. The provider is registered as an organization entity type.
The provider Is Doing Business As Comfort Hospice.

The provider's business location address is:

8706 MANCHESTER RD
STE 102
ST. LOUIS, MO
ZIP 63144-733
Phone: (314) 266-0950
Fax: (855) 845-1847

The provider's authorized official is Rajiv N Patel .
The authorized official title is Ceo/authorized Official and has the following contact phone number (248) 824-6609.

The CLIA number assigned to this NPI record is 26D2042311 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2012 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213-6HO	OTHER	MISSOURI	STATE OF MISSOURI HOSPICE LICENSE
2	1588923759	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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