Active NPI
Comfortaide
- In Home Supportive Care Agency
- Atlanta, GA
National Provider Identifier
1275358087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 VENTURES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.