Provider Demographics
NPI:1912863689
Name:MARIANS COMFORT HOME
Entity type:Organization
Organization Name:MARIANS COMFORT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERANI
Authorized Official - Middle Name:M
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-772-3389
Mailing Address - Street 1:1601 TURNBERRY DR APT A
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-6839
Mailing Address - Country:US
Mailing Address - Phone:470-772-3389
Mailing Address - Fax:
Practice Address - Street 1:1601 TURNBERRY DR APT A
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-6839
Practice Address - Country:US
Practice Address - Phone:470-772-3389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-26
Last Update Date:2025-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service