Healthcare Provider Details
I. General information
NPI: 1528436227
Provider Name (Legal Business Name): COMFORTER'S HOME HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2015
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2753 TRAIL CREEK CIRCLE
LITHIA SPRINGS GA
30122
US
IV. Provider business mailing address
2753 TRAIL CREEK CIR
LITHIA SPRINGS GA
30122-2733
US
V. Phone/Fax
- Phone: 231-660-1155
- Fax: 855-848-5637
- Phone: 678-457-5386
- Fax: 678-401-3660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311Z00000X |
| Taxonomy | Custodial Care Facility |
| License Number | ADC000035 |
| License Number State | GA |
VIII. Authorized Official
Name:
DANA
JOUBERT HAYES
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 612-237-6327