Complete Display Systems, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

110-R-0589 Issued in GA

Legal business name

COMPLETE DISPLAY SYSTEMS, INC.

Doing business as

Comfort Keepers

Practice address

5604 Wendy Bagwell Pkwy
Suite 811
Hiram, GA 30141-7813

Phone

(770) 419-1355

Fax

(770) 419-1898

NPI assigned

Sep 24, 2015

Last updated

Sep 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James H McNabb

Title

Owner

Phone

(770) 419-1355

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Doing business as

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1891164463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY",
            "address_2": "SUITE 811",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417813",
            "telephone_number": "770-419-1355",
            "fax_number": "770-419-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY",
            "address_2": "SUITE 811",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417813",
            "telephone_number": "770-419-1355",
            "fax_number": "770-419-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DISPLAY SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "MCNABB",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-419-1355"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "110-R-0589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Sep 24, 2015; 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.