Complete Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

047-R-1538 Issued in GA

Legal business name

COMPLETE CARE SERVICES

Practice address

1205 Dawson Rd
Albany, GA 31707-3851

Phone

(229) 435-7764

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Zelda Peters, FNP

Title

Administrator/Lab Director

Phone

(229) 894-7877

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Complete Care Services Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1306386750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073851",
            "telephone_number": "229-435-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073851",
            "telephone_number": "229-435-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ZELDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/LAB DIRECTOR",
        "authorized_official_telephone_number": "229-894-7877",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "047-R-1538",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000921874C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.