MEDICARE: SEASONS OF COMFORT PERSONAL CARE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	310400000X	Assisted Living Facility
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1740980283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEASONS OF COMFORT PERSONAL CARE HOME

Provider Business Mailing Address
First Line	:	1800 BUENA VISTA RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-3004
Country	:	US
Telephone Number	:	706-325-1659
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 BUENA VISTA RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-3004
Country	:	US
Telephone Number	:	706-325-1659
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR/CAREGIVER
Name	:	TRENDA DENISE THOMAS
Credential	:
Telephone Number	:	706-325-1659

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	05/05/2025

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