COMPLETE DISPLAY SYSTEMS, INC. (NPI# 1891164463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891164463 |
| Entity Type | Organization |
| Organization Name | COMPLETE DISPLAY SYSTEMS, INC. |
| Other Organization Name | COMFORT KEEPERS |
| Practice Address |
5604 Wendy Bagwell Pkwy Suite 811 Hiram GA 30141-7813 |
| Practice Telephone | 7704191355 |
| Practice Fax Number | 7704191898 |
| Mailing Telephone | 7704191355 |
| Mailing Fax Number | 7704191898 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | JAMES H MCNABB (OWNER) |
| Authorized Official Telephone | 7704191355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 110-R-0589 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Comfort Keepers | Doing Business As Name - Organization |
| Street Address |
5604 WENDY BAGWELL PKWY SUITE 811 |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942297106 | Richard J Breckwoldt | Internal Medicine | 5604 Wendy Bagwell Pkwy, Suite 711, Hiram, GA 30141-7813 | 2005-10-04 |
| 1164878302 | Synergy Homecare of Nw Atlanta | In Home Supportive Care | 5604 Wendy Bagwell Pkwy, Suite 321, Hiram, GA 30141-7813 | 2016-05-06 |
| 1245617364 | Pediatric Dental Specialist of Hiram | Dentist | 5604 Wendy Bagwell Pkwy, Suite 1100, Hiram, GA 30141-7813 | 2015-04-27 |
| 1336562966 | Latorey Howard | Social Worker | 5604 Wendy Bagwell Pkwy, Suite 611, Hiram, GA 30141-7813 | 2014-02-03 |
| 1548572415 | Empowered2change LLC | Social Worker | 5604 Wendy Bagwell Pkwy, Suite 812, Hiram, GA 30141-7813 | 2010-07-08 |
| 1174852156 | Sha-rhonda M. Davis | Social Worker | 5604 Wendy Bagwell Pkwy, 812, Hiram, GA 30141-7813 | 2009-12-21 |
| 1598930141 | Pinnacle Pediatrics PC | Pediatrics | 5604 Wendy Bagwell Pkwy, Suite 1111, Hiram, GA 30141-7813 | 2008-04-24 |
| 1619174463 | Andrea Battaglia | Counselor | 5604 Wendy Bagwell Pkwy, Suite 411, Hiram, GA 30141-7809 | 2007-06-27 |
| 1093911992 | John Marlin Warren | Radiologic Technologist | 5604 Wendy Bagwell Pkwy, Suite 911, Hiram, GA 30141-7809 | 2007-06-26 |
| 1376749291 | Byron T Barnes | Radiologic Technologist | 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7809 | 2007-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277125 | Sdx Home Care Operations, LLC | In Home Supportive Care | 5604 Wendy Bagwell Pkwy Ste 811, Hiram, GA 30141-7819 | 2020-05-27 |
| 1992153134 | American Hearts & Home | In Home Supportive Care | 126 Enterprise Path Ste 102, Hiram, GA 30141-2655 | 2016-05-27 |
| 1518386721 | Harbek Private Home Care Services | In Home Supportive Care | 3249 Creek Trce E, Hiram, GA 30141-3342 | 2014-04-15 |
| 1215276753 | House of Lord | In Home Supportive Care | 3802 Macland Rd, Hiram, GA 30141-2237 | 2013-02-04 |
| 1326585738 | Caprisha Warren | In Home Supportive Care | 126 Enterprise Path Ste 102, Hiram, GA 30141-2655 | 2017-01-23 |
| 1164878302 | Synergy Homecare of Nw Atlanta | In Home Supportive Care | 5604 Wendy Bagwell Pkwy, Suite 321, Hiram, GA 30141-7813 | 2016-05-06 |
| 1376893024 | Healing Wings Home Care Providers Inc. | In Home Supportive Care | 44 Darbys Crossing Dr, Suite 202 E, Hiram, GA 30141-6008 | 2012-09-10 |
| 1780965459 | Living Beyond LLC | In Home Supportive Care | 44 Darbys Crossing Dr, Suite 206 I, Hiram, GA 30141-6008 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740356 | Charlies Angels Care Corp | In Home Supportive Care | 525 W Broad St, Twin City, GA 30471-4187 | 2020-11-05 |
| 1316547433 | Xl Promise Home Care LLC | In Home Supportive Care | 102 Highland Park Trl, Sandy Springs, GA 30350-3392 | 2020-10-28 |
| 1639779960 | Caring House Home Care Services, LLC | In Home Supportive Care | 1100 Pittsburgh Ave, White Plains, GA 30678 | 2020-10-27 |
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1871100123 | Angella Miller | In Home Supportive Care | 326 Carrington Ln, Douglasville, GA 30135-6712 | 2020-09-29 |
| 1366059222 | Esther Home Care Services LLC | In Home Supportive Care | 3153 Chapel Rd Nw, Kennesaw, GA 30144-4203 | 2020-09-25 |
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1548876816 | Dwe-bah Home Care LLC. | In Home Supportive Care | 1991 Roxey Ln, Winder, GA 30680-6124 | 2020-09-21 |
| 1174138416 | Crossley Seniorcare LLC | In Home Supportive Care | 4321 S Lee St Ste 400, Buford, GA 30518-5776 | 2020-09-14 |
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.