COMFORTBROOK HOSPICE, LLC (NPI# 1205352051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205352051 |
| Entity Type | Organization |
| Organization Name | COMFORTBROOK HOSPICE, LLC |
| Other Organization Name | GRACE HOSPICE |
| Practice Address |
4850 Smith Rd Ste 100c Cincinnati OH 45212-2797 |
| Mailing Address |
Po Box 99278 Troy MI 48099-9278 |
| Practice Telephone | 5134585545 |
| Practice Fax Number | 5134585549 |
| Mailing Telephone | 2488246000 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | RAJIV N PATEL (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2488246609 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TDDD | HHCA.022229350-12 | 01 |
| OH | 0270487 | 05 | |
| OH | STATE OF OHIO HOSPICE LICENSE | 0250HSP | 01 |
| Other Name | Type Code |
|---|---|
| Grace Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3033 Kettering Blvd Ste 220, Moraine, OH 454391948 | 9372931381 | 9372931382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201390 | Comfortbrook Hospice, LLC | Hospice Care, Community Based | 7206 Market St Ste B, Youngstown, OH 44512-4562 | 2017-08-16 |
| 1871019463 | Comfortbrook Hospice, LLC | Hospice Care, Community Based | 16600 W Sprague Rd Ste 35, Middleburg Heights, OH 44130-6318 | 2017-08-16 |
| 1649482621 | Comfortbrook Hospice, LLC | Hospice Care, Community Based | 355 E. Campus View Blvd, Ste 270, Columbus, OH 43235-5680 | 2007-05-04 |
| Street Address |
4850 SMITH RD STE 100C |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45212-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1629566039 | Jessica Lee Eckstein | Nurse Practitioner | 4805 Montgomery Rd Ste 154, Cincinnati, OH 45212 | 2018-05-01 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| Find all providers in zip 45212 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558886895 | Annette Feagin | Hospice Care, Community Based | 1805 Carll St, Cincinnati, OH 45225-1941 | 2017-08-08 |
| 1316484785 | Avalon Hospice Ohio, LLC | Hospice Care, Community Based | 4010 Executive Park Dr Ste 225, Cincinnati, OH 45241-4010 | 2017-01-24 |
| 1801804687 | In Home Health LLC | Hospice Care, Community Based | 3960 Red Bank Rd, Suite 140, Cincinnati, OH 45227-3421 | 2006-08-04 |
| 1598740011 | Hospice of Cincinnati Incorporated | Hospice Care, Community Based | 4310 Cooper Rd, Suite 300, Cincinnati, OH 45242-5613 | 2005-12-07 |
| 1083212831 | Affinity Care of Ohio LLC | Hospice Care, Community Based | 440 Lafayette Ave, Cincinnati, OH 45220-1022 | 2020-10-14 |
| 1154947174 | Ohio Living Holdings | Hospice Care, Community Based | 11275 Springfield Pike, Cincinnati, OH 45246-4113 | 2020-06-25 |
| 1891030623 | Bethesda Hospital, Inc | Hospice Care, Community Based | 4360 Cooper Rd, Cincinnati, OH 45242-5688 | 2012-12-05 |
| 1295000628 | Evercare Hospice, Inc. | Hospice Care, Community Based | 2140 Pogue Ave, Cincinnati, OH 45208-3234 | 2012-03-19 |
| 1073844353 | Cedar Knoll, LLC | Hospice Care, Community Based | 11275 Springfield Pike, Cincinnati, OH 45246-4113 | 2010-01-26 |
| 1841452026 | Hospice Inspiris of Ohio, Inc. | Hospice Care, Community Based | 4555 Lake Forest Dr, #650, Cincinnati, OH 45242-3785 | 2008-06-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45212 |
Please comment or provide details below to improve the information on COMFORTBROOK HOSPICE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.