Organization Active NPI

Comfort Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, GA
National Provider Identifier
1154692994
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMFORT MEDICAL SUPPLY LLC
Practice address
129 Bethea Rd
Ste 402
Fayetteville, GA 30214-3806
Phone
(678) 519-1474
Fax
(678) 519-1767
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RMH MEDICAL GROUP HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig A Daley
Title
President & Ceo
Phone
(386) 673-6902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

129 Bethea Rd
Ste 402
Fayetteville, GA 30214-3806

Mailing address

129 Bethea Rd
Ste 402
Fayetteville, GA 30214-3806
Phone (678) 519-1474

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1154692994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BETHEA RD",
            "address_2": "STE 402",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143806",
            "telephone_number": "678-519-1474",
            "fax_number": "678-519-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BETHEA RD",
            "address_2": "STE 402",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143806",
            "telephone_number": "678-519-1474",
            "fax_number": "678-519-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RMH MEDICAL GROUP HOLDINGS INC",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "386-673-6902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.