NPI Code Details Logo

NPI 1295672541

NPI 1295672541 : CODY COMFORT CARE LLC : KENNESAW, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295672541
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CODY COMFORT CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/04/2026
-----------------------------------------------------
    Last Update Date     |    05/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3543 ESTATES LANDING DR NW 
-----------------------------------------------------
    City                 |    KENNESAW
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30144-3750
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-249-8310
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2001 DUNCAN DR NW BOX 312
-----------------------------------------------------
    City                 |    KENNESAW
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30144-3750
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-249-8310
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     CHIKODI  NWOKEDI 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    770-249-8310
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.