Active NPI
CDS at State Care Agency LLC
- In Home Supportive Care Agency
- Frisco, TX
National Provider Identifier
1134940596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CDS AT STATE CARE AGENCY LLC
- Practice address
- 3201 Dallas Pkwy Ste 200
Frisco, TX 75034-9572 - Phone
- (469) 955-4041
- Fax
- (972) 335-3778
- NPI assigned
- Oct 18, 2024
- 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
- Mahnaz Shahbazi
- Title
- President/Owner/Managing Director
- Phone
- (469) 955-4041
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
3201 Dallas Pkwy Ste 200
Frisco, TX 75034-9572
Mailing address
3201 Dallas Pkwy Ste 200
Frisco, TX 75034-9572
Phone (469) 955-4041
National Provider Directory
National Provider DirectoryLocations
3201 Dallas Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 617-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Frisco, TX
- NPI 1962739201
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767398400000",
"number": "1134940596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 DALLAS PKWY STE 200",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349572",
"telephone_number": "469-955-4041",
"fax_number": "972-335-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 DALLAS PKWY STE 200",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349572",
"telephone_number": "469-955-4041",
"fax_number": "972-335-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CDS AT STATE CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-18",
"last_updated": "2026-01-03",
"certification_date": "2026-01-03",
"status": "A",
"authorized_official_last_name": "SHAHBAZI",
"authorized_official_first_name": "MAHNAZ",
"authorized_official_title_or_position": "PRESIDENT/OWNER/MANAGING DIRECTOR",
"authorized_official_telephone_number": "469-955-4041"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.