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SOUTHERN COMFORT SENIOR LIVING LLC
NPI 1902491855
Assisted Living Facility in Marietta, GA

Active since March 03, 2021
715 SHADYBROOK DR NE, MARIETTA, GA 30066(678) 656-5255 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2021, Mar 3, 2021 (2 updates tracked since 2021).

About Southern Comfort Senior Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN COMFORT SENIOR LIVING LLC (NPI 1902491855) is a healthcare organization registered as an assisted living facility in Marietta, Georgia and active in the NPI registry since March 2021. The organization lists Evrile Poche, Owner, as its authorized official.

NPPES Registry Identity

NPI1902491855
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN COMFORT SENIOR LIVING LLC
Location Address715 SHADYBROOK DR NEMarietta, GA 30066-6212
Mailing Address715 Shadybrook Dr NeMarietta, GA 30066-6212 · (678) 656-5255
Phone(678) 656-5255
Organization SubpartNo
Authorized OfficialEvrile PocheOwner · (678) 656-5255
Enumeration DateMarch 3, 2021
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1902491855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
715 SHADYBROOK DR NE, Marietta, GA 30066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Comfort Senior Living LLC's NPI number?

The NPI number for Southern Comfort Senior Living LLC is 1902491855. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Southern Comfort Senior Living LLC located?

Southern Comfort Senior Living LLC is located at 715 Shadybrook Dr NE, Marietta, GA 30066. The listed phone number is (678) 656-5255.

What is Southern Comfort Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Southern Comfort Senior Living LLC was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.