Healthcare Provider Details

I. General information

NPI: 1689558850
Provider Name (Legal Business Name): THE COMFORT HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 WOODSTONE CT
ATLANTA GA
30331-6552
US

IV. Provider business mailing address

730 PEACHTREE ST NE STE 570
ATLANTA GA
30308-1244
US

V. Phone/Fax

Practice location:
  • Phone: 678-389-0020
  • Fax:
Mailing address:
  • Phone: 678-389-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LILLIAN JONES
Title or Position: AUTHORIZED PERSONNEL
Credential:
Phone: 678-389-0020