Southern Comfort Adult Day Service LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SOUTHERN COMFORT ADULT DAY SERVICE LLC

Practice address

169 Eason Hall Rd
Glennville, GA 30427-5504

Phone

(912) 716-3222

Fax

(562) 279-9611

NPI assigned

Mar 18, 2026

Last updated

Mar 18, 2026By 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

Bertha Cooper

Title

Director & Founder

Phone

(912) 716-3222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1487502159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 EASON HALL RD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304275504",
            "telephone_number": "912-716-3222",
            "fax_number": "562-279-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 EASON HALL RD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304275504",
            "telephone_number": "912-716-3222",
            "fax_number": "562-279-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT ADULT DAY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "DIRECTOR & FOUNDER",
        "authorized_official_telephone_number": "912-716-3222"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Glennville, GA
• Providers in Glennville, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.