Comforcare Clayton Henry LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMFORCARE CLAYTON HENRY LLC

Doing business as

ComForCare Home Care Clayton Henry

Practice address

6304 Bunker Dr
Locust Grove, GA 30248-7065

Phone

(193) 130-2631

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tangi Conecha Smith

Title

Owner

Phone

(404) 993-0135

Specialties & licenses 1

Addresses

Other names 1

• ComForCare Home Care Clayton Henry Doing business as

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1174203442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 BUNKER DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487065",
            "telephone_number": "193-130-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 BUNKER DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487065",
            "telephone_number": "193-130-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORCARE CLAYTON HENRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TANGI",
        "authorized_official_middle_name": "CONECHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-0135"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care Clayton Henry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.