Healthcare Provider Details

I. General information

NPI: 1316631419
Provider Name (Legal Business Name): COMPLETE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/05/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 K AVE STE 207
PLANO TX
75074-5312
US

IV. Provider business mailing address

2600 K AVE STE 207
PLANO TX
75074-5312
US

V. Phone/Fax

Practice location:
  • Phone: 214-334-4860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TASHA STAFFORD
Title or Position: CEO
Credential:
Phone: 214-334-4860