Active NPI
Angel Comfort
- In Home Supportive Care Agency
- Austell, GA
National Provider Identifier
1174106645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ANGEL COMFORT
- Practice address
- 1325 Six Flags Rd Apt 518
Austell, GA 30168 - Phone
- (678) 653-9054
- NPI assigned
- May 3, 2021
- Last updated
- May 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patience Amadi
- Title
- Owner/Administrator
- Phone
- (678) 570-0241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1325 Six Flags Rd Apt 518
Austell, GA 30168
Mailing address
1325 Six Flags Rd Apt 518
Austell, GA 30168
Phone (678) 653-9054
Other names 1
- Angel Comfort
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620000000000",
"number": "1174106645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SIX FLAGS RD APT 518",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30168",
"telephone_number": "678-653-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SIX FLAGS RD APT 518",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30168",
"telephone_number": "678-653-9054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL COMFORT",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "AMADI",
"authorized_official_first_name": "PATIENCE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "678-570-0241",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angel Comfort",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.