NPIMap

Organization Active NPI

Comfort Community Center, LLC

  • Adult Day Care Clinic/Center
  • Marietta, GA
National Provider Identifier
1700183365
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
00061603 Issued in GA
Legal business name
COMFORT COMMUNITY CENTER, LLC
Practice address
700 Sandy Plains Rd Ste B14
Ste B14
Marietta, GA 30066-6311
Phone
(678) 581-1831
Fax
(678) 581-1836
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 00061603 GA Primary

Addresses

Primary practice location

700 Sandy Plains Rd Ste B14
Ste B14
Marietta, GA 30066-6311

Mailing address

700 Sandy Plains Rd Ste B14
Sandy Plains Conn
Marietta, GA 30066-6311
Phone (678) 581-1831

Other identifiers 2

IdentifierTypeStateIssuer
702748549BMedicaidGA
702748549AMedicaidGA

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.

Locations

700 Sandy Plains Rd
Ste B14
Marietta, GA 30066
Phone (678) 581-1831

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1700183365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SANDY PLAINS RD STE B14",
            "address_2": "SANDY PLAINS CONN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666311",
            "telephone_number": "678-581-1831",
            "fax_number": "678-581-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SANDY PLAINS RD STE B14",
            "address_2": "STE B14",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666311",
            "telephone_number": "678-581-1831",
            "fax_number": "678-581-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT COMMUNITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "00061603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702748549B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702748549A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 17, 2011; 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.