Healthcare Provider Details

I. General information

NPI: 1831218841
Provider Name (Legal Business Name): COMPLETE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20663 CHURCHILL AVE
BROWNSTOWN TWP MI
48183-5072
US

IV. Provider business mailing address

20663 CHURCHILL AVE
BROWNSTOWN TWP MI
48183-5072
US

V. Phone/Fax

Practice location:
  • Phone: 734-672-7765
  • Fax: 734-672-7980
Mailing address:
  • Phone: 734-672-7765
  • Fax: 734-672-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MISS KRISTINA ELAINE KANIEWSKI
Title or Position: CEO
Credential: BS
Phone: 734-672-7765