Comfy Ride LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

OCC009191 Issued in GA

Legal business name

COMFY RIDE LLC

Practice address

1295 Seven Springs Cir
Marietta, GA 30068-2677

Phone

(404) 789-0118

Fax

(770) 627-3922

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Hiwot Desta

Title

Owner

Phone

(404) 789-0881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1508260159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 SEVEN SPRINGS CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682677",
            "telephone_number": "404-789-0118",
            "fax_number": "770-627-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 SEVEN SPRINGS CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682677",
            "telephone_number": "404-789-0118",
            "fax_number": "770-627-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFY RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "HIWOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-789-0881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "OCC009191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Marietta, GA
• Providers in Marietta, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.