Organization Active NPI

Complete Care Management Services

  • In Home Supportive Care Agency
  • Spartanburg, SC
National Provider Identifier
1093219123
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0724 Issued in SC
Legal business name
COMPLETE CARE MANAGEMENT SERVICES
Practice address
716 Union St
Spartanburg, SC 29306-3629
Phone
(864) 517-0350
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Satreva Denee Dogan, RN
Title
Ceo
Phone
(864) 517-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHCP-0724 SC Primary

Addresses

Primary practice location

716 Union St
Spartanburg, SC 29306-3629

Mailing address

716 Union St
Spartanburg, SC 29306-3629
Phone (864) 517-0350

National Provider Directory

National Provider Directory
Tax ID family
Complete Care Management Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1093219123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 UNION ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063629",
            "telephone_number": "864-517-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 UNION ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063629",
            "telephone_number": "864-517-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "DOGAN",
        "authorized_official_first_name": "SATREVA",
        "authorized_official_middle_name": "DENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-517-0350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.