Trinity Comfort Center, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

CLA001049 Issued in GA

Legal business name

TRINITY COMFORT CENTER, LLC

Practice address

11414 Vinea LN
Hampton, GA 30228-6260

Phone

(770) 471-9277

Fax

(770) 234-5686

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Renee' Clark

Title

Ceo

Phone

(205) 381-9319

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1306147624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MOUNT ZION RD",
            "address_2": "STE 283",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603313",
            "telephone_number": "770-471-9277",
            "fax_number": "770-234-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 VINEA LN",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286260",
            "telephone_number": "770-471-9277",
            "fax_number": "770-234-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COMFORT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-381-9319",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "CLA001049",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "CLA001049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Hampton, GA
• Providers in Hampton, GA by specialty
• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.