Provider Demographics
NPI:1336507557
Name:AMERICAN COMFORT GIVERS HOSPICE LLC
Entity Type:Organization
Organization Name:AMERICAN COMFORT GIVERS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-914-2432
Mailing Address - Street 1:5627 SINGLETON RD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2208
Mailing Address - Country:US
Mailing Address - Phone:770-447-4553
Mailing Address - Fax:
Practice Address - Street 1:5627 SINGLETON RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2208
Practice Address - Country:US
Practice Address - Phone:770-447-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-0417-H251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based