Healthcare Provider Details

I. General information

NPI: 1942168265
Provider Name (Legal Business Name): COMFORT CARE FOR SENIORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 17TH ST NW UNIT 1803
ATLANTA GA
30363-1088
US

IV. Provider business mailing address

PO BOX 13562
ATLANTA GA
30324-0562
US

V. Phone/Fax

Practice location:
  • Phone: 404-817-6112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANIKA JORDAN
Title or Position: OWNER
Credential:
Phone: 404-817-6112