Provider Demographics
NPI:1932723061
Name:COMFORT ZONE PRIVATE HOME CARE LLC
Entity Type:Organization
Organization Name:COMFORT ZONE PRIVATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-PHILIPPE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:678-596-3904
Mailing Address - Street 1:3340 PEACHTREE RD NE STE 1800
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1064
Mailing Address - Country:US
Mailing Address - Phone:678-596-3904
Mailing Address - Fax:
Practice Address - Street 1:3340 PEACHTREE RD NE STE 1800
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1064
Practice Address - Country:US
Practice Address - Phone:404-812-5314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health