COMFORT ZONE PERSONAL CARE HOME LLC NPI 1730439159

NPI Information

NPI: 1730439159
Provider Name: COMFORT ZONE PERSONAL CARE HOME LLC
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
485 FROG RD
LOCUST GROVE, GA
ZIP 30248
Phone: (678) 610-5498
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COMFORT ZONE PERSONAL CARE HOME LLC is a respite care and mental retardation and/or developmental disabilities respite care in Locust Grove, GA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. COMFORT ZONE PERSONAL CARE HOME LLC NPI is 1730439159. The provider is registered as an organization entity type.

The provider's business location address is:

485 FROG RD
LOCUST GROVE, GA
ZIP 30248-505
Phone: (678) 610-5498
Fax: (678) 610-5498

The provider's authorized official is Margaret Wairimu Clukey .
The authorized official title is Director and has the following contact phone number (770) 712-9308.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.

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	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	CLA001137	GEORGIA	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	181993856A	MEDICAID	GEORGIA

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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