- Enrollment id
- O20110628000335
- Enrollment state
- IL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1053619734
- Multiple npi flag
- N
- Ccn
- 141641
- Associate id
- 3072791730
- Organization name
- COMFORT PLUS HOSPICE INC
- Incorporation date
- 2011-02-24
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7150 N UNIVERSITY ST
- City
- PEORIA
- State
- IL
- Zip code
- 616141752