Provider Demographics
NPI:1649574369
Name:COMPREHENSIVE NURSING CARE INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE NURSING CARE INC.
Other - Org Name:HEARTHSTONE HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:CHAMBERS
Authorized Official - Last Name:NICHOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-536-6963
Mailing Address - Street 1:835 OAK STREET
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501
Mailing Address - Country:US
Mailing Address - Phone:770-536-6963
Mailing Address - Fax:
Practice Address - Street 1:825 OAK STREET
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-536-6963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE NURSING CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA069R0023253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGAP235872OtherGAPS ORI/OAC