# AMENITY NURSING CARE AND COMPANION SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225797822
- **Authorized official:** MRS. STEPHANIE DENISE JACKSON RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (404) 548-8442

## Contact information

- **Practice address:** 4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
- **Practice address phone:** (404) 548-8442
- **Mailing address:** 4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
- **Mailing address phone:** (404) 548-8442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 251F00000X | Home Infusion Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 12/10/2021
- **Last updated:** 12/10/2021