- Enrollment id
- O20150821012681
- Enrollment state
- IL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1588047211
- Multiple npi flag
- N
- Ccn
- 141667
- Associate id
- 5496060378
- Organization name
- CHICAGO HOPE AND PALLIATIVE HEALTHCARE, INC
- Doing business as name
- COMFORT CARE HOSPICE AND PALLIATIVE INC
- Incorporation date
- 2014-11-30
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9944 S ROBERTS RD
- Address line 2
- STE 105
- City
- PALOS HILLS
- State
- IL
- Zip code
- 604651555