MEDICARE: COMPLETE CARE HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider

General Provider Information

NPI Number	:	1053278846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE HOME CARE INC

Provider Business Mailing Address
First Line	:	6043 19 MILE RD STE B
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6043 19 MILE RD STE B
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2105
Country	:	US
Telephone Number	:	313-218-0558
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEROME BEARD
Credential	:
Telephone Number	:	313-218-0558

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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