NPIMap

Organization Active NPI

Comfort Community Center, LLC

  • Pediatric Skilled Nursing Facility
  • Marietta, GA
National Provider Identifier
1598253684
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
COMFORT COMMUNITY CENTER, LLC
Practice address
2440 Sandy Plains Road
Blvd 21, Suite 100
Marietta, GA 30066
Phone
(678) 401-8743
Fax
(770) 675-3347
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Emmanuel Wohiren
Title
Director
Phone
(678) 581-1831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

2440 Sandy Plains Road
Blvd 21, Suite 100
Marietta, GA 30066

Mailing address

2440 Sandy Plains Road
Blvd 21, Suite 100
Marietta, GA 30066
Phone (678) 401-8743

Other identifiers 1

IdentifierTypeStateIssuer
702748549NMedicaidGA

Other names 1

  • Comfort Community Center LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Comfort Community Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1598253684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS ROAD",
            "address_2": "BLVD 21, SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30066",
            "telephone_number": "678-401-8743",
            "fax_number": "770-675-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS ROAD",
            "address_2": "BLVD 21, SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30066",
            "telephone_number": "678-401-8743",
            "fax_number": "770-675-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT COMMUNITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "WOHIREN",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-581-1831"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702748549N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Community Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.