Organization Active NPI

Complete Care at Home, LLC

Doing business as Complete Care At Home

  • In Home Supportive Care Agency
  • Dunwoody, GA
National Provider Identifier
1124487376
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
060-R-0250 Issued in GA
Legal business name
COMPLETE CARE AT HOME, LLC
Doing business as
Complete Care At Home
Practice address
11 Dunwoody Park
Suite 140
Dunwoody, GA 30338-7408
Phone
(770) 551-9533
NPI assigned
Feb 16, 2016
Last updated
May 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Mrs. Lisa Marleen Reisman, MSN, CNPNPI 1942698550
Title
Administrator
Phone
(770) 551-9533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 060-R-0250 GA
In Home Supportive Care Agency 253Z00000X 060-R-0250 GA Primary

Addresses

Primary practice location

11 Dunwoody Park
Suite 140
Dunwoody, GA 30338-7408

Mailing address

11 Dunwoody Park
Suite 140
Dunwoody, GA 30338-7408
Phone (770) 551-9533

Other names 1

  • Complete Care At Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1073892Complete Care at Home, LLC11 Dunwoody Park, Suite 140, Dunwoody, GA 30338Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Locations

11 Dunwoody Park
Ste 140
Dunwoody, GA 30338
Phone (404) 343-1087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1124487376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUNWOODY PARK",
            "address_2": "SUITE 140",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387408",
            "telephone_number": "770-551-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DUNWOODY PARK",
            "address_2": "SUITE 140",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387408",
            "telephone_number": "770-551-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "REISMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-551-9533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, CNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "060-R-0250",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-0250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.