Provider Demographics
NPI:1619851078
Name:ANNIE'S COMFORT HOME ASSISTANT LIVING
Entity type:Organization
Organization Name:ANNIE'S COMFORT HOME ASSISTANT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-554-7303
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-0252
Mailing Address - Country:US
Mailing Address - Phone:404-554-7303
Mailing Address - Fax:
Practice Address - Street 1:30281
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30281
Practice Address - Country:US
Practice Address - Phone:404-554-7303
Practice Address - Fax:404-554-7303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health