MEDICARE: COMFORT CARE FOR SENIORS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942168265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CARE FOR SENIORS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 13562
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-0562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 17TH ST NW UNIT 1803
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30363-1088
Country	:	US
Telephone Number	:	404-817-6112
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANIKA JORDAN
Credential	:
Telephone Number	:	404-817-6112

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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