Healthcare Provider Details

I. General information

NPI: 1922697499
Provider Name (Legal Business Name): COMPLETE HOME CARE SERVICES COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 COMMONWEALTH DR STE 102B
CHARLOTTESVILLE VA
22901-1894
US

IV. Provider business mailing address

2300 COMMONWEALTH DR STE 102B
CHARLOTTESVILLE VA
22901-1894
US

V. Phone/Fax

Practice location:
  • Phone: 434-465-5709
  • Fax: 434-202-2427
Mailing address:
  • Phone: 434-465-5709
  • Fax: 434-202-2724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TILA KHAREL
Title or Position: OFFICE MANAGER
Credential:
Phone: 434-465-5709