Organization Active NPI

Comfort Creek Post Acute LLC

  • Skilled Nursing Facility
  • Wadley, GA
National Provider Identifier
1851233829
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMFORT CREEK POST ACUTE LLC
Practice address
10200 US Highway 1 S
Wadley, GA 30477-3864
Phone
(478) 252-5254
NPI assigned
Apr 8, 2026
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Kenneth Funk
Title
Member of LLC
Phone
(415) 310-8307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10200 US Highway 1 S
Wadley, GA 30477-3864

Mailing address

10200 US Highway 1 S
Wadley, GA 30477-3864
Phone (478) 252-5254

National Provider Directory

National Provider Directory

Locations

10200 US Highway 1 S
Wadley, GA 30477
Phone (478) 252-3254

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1851233829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 US HIGHWAY 1 S",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304773864",
            "telephone_number": "478-252-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 US HIGHWAY 1 S",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304773864",
            "telephone_number": "478-252-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CREEK POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "415-310-8307"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.