Healthcare Provider Details

I. General information

NPI: 1346443827
Provider Name (Legal Business Name): COMPLETE APPROACH HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 WEST TEXAS AVE
WASKOM TX
75692
US

IV. Provider business mailing address

PO BOX 609
WASKOM TX
75692-0609
US

V. Phone/Fax

Practice location:
  • Phone: 903-687-2399
  • Fax: 903-687-2383
Mailing address:
  • Phone: 903-687-2399
  • Fax: 903-687-2383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number005706
License Number StateTX

VIII. Authorized Official

Name: MRS. GWENDOLYN PENDER BARNES
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 903-687-2399