COMFORTBROOK HOSPICE LLC NPI 1871019463

NPI Information

NPI: 1871019463
Provider Name: COMFORTBROOK HOSPICE, LLC

Doing Business As: GRACE HOSPICE

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

CLIA Number: 36D2016814

Address:
16600 W SPRAGUE RD STE 35
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (248) 824-6000
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COMFORTBROOK HOSPICE, LLC is a hospice care community based in Middleburg Heights, OH. COMFORTBROOK HOSPICE, LLC NPI is 1871019463. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Hospice.

The provider's business location address is:

16600 W SPRAGUE RD STE 35
MIDDLEBURG HEIGHTS, OH
ZIP 44130-318
Phone: (248) 824-6000
Fax: (855) 618-6655

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 36D2016814 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2017 and was last updated on 8/25/2021.

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		PROCESSING	OHIO	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	0270328	MEDICAID	OHIO
2	0252HSP	OTHER	OHIO	STATE OF OHIO HOSPICE LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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