Organization Active NPI

Comfortaide

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1275358087
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMFORTAIDE
Doing business as
ComfortAide
Practice address
3100 Interstate North Circle Southeast
Suite 200
Atlanta, GA 30339
Phone
(404) 947-6004
NPI assigned
Nov 18, 2024
Organization subpart
Yes
Parent organization
MITIAL VENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Mr. Dominique Mitial
Title
Chief Operating Officer
Phone
(786) 660-4757

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3100 Interstate North Circle Southeast
Suite 200
Atlanta, GA 30339

Mailing address

2090 Baker Rd
Ste 304 #1017
Kennesaw, GA 30144-4617
Phone (404) 947-6004

Other names 1

  • ComfortAide Doing business as

National Provider Directory

National Provider Directory
Part of
Comfortaide

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1275358087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 BAKER RD",
            "address_2": "STE 304 #1017",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444617",
            "telephone_number": "404-947-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIRCLE SOUTHEAST",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "404-947-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTAIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MITIAL VENTURES",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "MITIAL",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "786-660-4757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComfortAide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.