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NPI Code Detail

MEDICARE: COMPLETE HOME HEALTH, LLC

MEDICARE: COMPLETE HOME HEALTH, LLC
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
1163WH0200XHome Health Registered Nurse562430TX

General Provider Information

NPI Number : 1457381337
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE HOME HEALTH, LLC
Provider Business Mailing Address
First Line : 4720 LA BRANCH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4720 LA BRANCH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5042
Country : US
Telephone Number : 713-522-1774
Fax Number : 713-522-0226
Authorized Official
Title or Position : DIRECTOR OF NURSING
Name : KIMBERLEY EDWARDS
Credential :
Telephone Number : 713-522-1774
Provider Enumeration Date : 07/04/2006
Last Update Date : 08/22/2020

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Directions to “COMPLETE HOME HEALTH, LLC ” Practice Location

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