Healthcare Provider Details

I. General information

NPI: 1841955416
Provider Name (Legal Business Name): CARE COMPLETE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9810 NORTH MACARTHUR BOULEVARD 302
IRVING TX
75063-3602
US

IV. Provider business mailing address

400 E ROYAL LN STE 290
IRVING TX
75039-3602
US

V. Phone/Fax

Practice location:
  • Phone: 410-903-3322
  • Fax:
Mailing address:
  • Phone: 469-588-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. MARCIA HOWARD
Title or Position: ADMINISTRATOR
Credential:
Phone: 410-903-3322