Active NPI
Complete Care at Home, LLC
Doing business as Complete Care At Home
- In Home Supportive Care Agency
- Dunwoody, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 060-R-0250
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Marleen Reisman, MSN, CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1073892 | Complete Care at Home, LLC | Certificate of waiver | Jul 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Nurse Practitioner
- Dunwoody, GA
- NPI 1942698550
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.