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General NPI Number Information
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NPI Number | 1427471564
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH HOME CARE LLC
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 2450 CHANDLER AVE STE 10
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City | LAS VEGAS
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State | NV
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Zip | 89120-4059
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Country | US
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Telephone | 702-550-3847
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Fax | 702-550-3848
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Provider Business Mailing Address
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Address Line | 2450 CHANDLER AVE STE 10
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City | LAS VEGAS
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State | NV
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Zip | 89120-4059
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Country | US
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Telephone | 702-550-3847
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Fax | 702-550-3848
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Authorized Official
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Title or Position | CEO
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Name | HEATH MICHAEL HAIRR
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Credential |
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Telephone | 702-550-3847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NV20131717844
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License Number State | NV
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