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NPI Code Detail

MEDICARE: COMPLETE HOMECARE ILLINOIS LLC

MEDICARE: COMPLETE HOMECARE ILLINOIS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1174459374
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE HOMECARE ILLINOIS LLC
Provider Business Mailing Address
First Line : 21212 NORTHERN BLVD FL 3
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-3388
Country : US
Telephone Number : 917-847-0810
Fax Number :
Provider Business Practice Location Address
First Line : 21212 NORTHERN BLVD FL 3
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-3388
Country : US
Telephone Number : 917-847-0810
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : VIKRAM KAUL
Credential :
Telephone Number : 917-847-0810
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “COMPLETE HOMECARE ILLINOIS LLC ” Practice Location

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