NPIMap

Organization Active NPI

Complete Care Services 2 LLC

  • In Home Supportive Care Agency
  • Denham Springs, LA
National Provider Identifier
1447896097
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPLETE CARE SERVICES 2 LLC
Practice address
1992 Florida Ave SW Ste a
Denham Springs, LA 70726-4971
Phone
(225) 250-9654
Fax
(225) 416-0999
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mrs. Derxann M Keys
Title
Owner
Phone
(225) 250-9654

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1992 Florida Ave SW Ste a
Denham Springs, LA 70726-4971

Mailing address

1992 Florida Ave SW Ste a
Denham Springs, LA 70726-4971
Phone (225) 250-9654

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidLA

Other names 1

  • Complete Care Services 2 LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1992 Florida Ave SW
Ste A
Denham Springs, LA 70726
Phone (225) 250-9654

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Mykia Scott
    • Case Manager/Care Coordinator
    • Denham Springs, LA
    • NPI 1043975477
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1447896097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 FLORIDA AVE SW STE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264971",
            "telephone_number": "225-250-9654",
            "fax_number": "225-416-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 FLORIDA AVE SW STE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264971",
            "telephone_number": "225-250-9654",
            "fax_number": "225-416-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE SERVICES 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "DERXANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-250-9654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Services 2 LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Complete Care Services 2 LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.