Healthcare Provider Details

I. General information

NPI: 1356637615
Provider Name (Legal Business Name): COMPLETE HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6709 S MINNESOTA AVENUE SUITE 105
SIOUX FALLS SD
57108-2593
US

IV. Provider business mailing address

6709 S MINNESOTA AVENUE SUITE 105
SIOUX FALLS SD
57108-2593
US

V. Phone/Fax

Practice location:
  • Phone: 605-338-3938
  • Fax: 605-338-1693
Mailing address:
  • Phone: 605-338-9383
  • Fax: 605-338-1693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number100-1964
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number100-1964
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number100-1964
License Number StateSD
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number100-1964
License Number StateSD
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number100-1964
License Number StateSD

VIII. Authorized Official

Name: DR. THOMAS K CHIU
Title or Position: PHARMACY MANAGER
Credential: PHARM D.
Phone: 605-338-9383