Healthcare Provider Details

I. General information

NPI: 1679440119
Provider Name (Legal Business Name): ADORE COMPANIONSHIP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CARDINAL CT
COVINGTON GA
30016-8905
US

IV. Provider business mailing address

100 CARDINAL CT
COVINGTON GA
30016-8905
US

V. Phone/Fax

Practice location:
  • Phone: 404-514-8250
  • Fax:
Mailing address:
  • Phone: 404-514-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATOYA REBECCA YOUNG
Title or Position: CEO
Credential:
Phone: 404-514-8250