Organization Active NPI

Angel Comfort

  • In Home Supportive Care Agency
  • Austell, GA
National Provider Identifier
1174106645
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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"
        }
    ]
}

Other providers in Austell, GA

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.

Verify at the official NPI Registry.