Provider Demographics
NPI:1740805753
Name:COMPLETE NURSING CARE, LLC
Entity Type:Organization
Organization Name:COMPLETE NURSING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKELLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-316-3631
Mailing Address - Street 1:5688 WOODLAND GREENS RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-5885
Mailing Address - Country:US
Mailing Address - Phone:404-316-3631
Mailing Address - Fax:678-402-7521
Practice Address - Street 1:8305 OFFICE PARK DR STE C
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-6935
Practice Address - Country:US
Practice Address - Phone:404-316-3631
Practice Address - Fax:678-402-7521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric