Healthcare Provider Details
I. General information
NPI: 1396781845
Provider Name (Legal Business Name): COMPLETE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 S MINNESOTA AVE STE 200
SIOUX FALLS SD
57108-2700
US
IV. Provider business mailing address
5000 S MINNESOTA AVE STE 200
SIOUX FALLS SD
57108-2700
US
V. Phone/Fax
- Phone: 605-338-9383
- Fax: 605-338-1693
- Phone: 605-338-9383
- Fax: 605-338-1693
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | 1001527 |
| License Number State | SD |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YEE LAI
CHIU
Title or Position: OWNER PHARMACY MNGR
Credential: RPH
Phone: 605-338-9383