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NPI Code Detail

MEDICARE: COMPLETE COMFORT HOME CARE PROVIDERS LLC

MEDICARE: COMPLETE COMFORT HOME CARE PROVIDERS 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 : 1285098327
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE COMFORT HOME CARE PROVIDERS LLC
Provider Business Mailing Address
First Line : 414 WALNUT ST
Second Line : STE 306
City : CINCINNATI
State : OH
Zip : 45202-3908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 414 WALNUT ST
Second Line : STE 306
City : CINCINNATI
State : OH
Zip : 45202-3908
Country : US
Telephone Number : 513-486-8926
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LANISHA GREER
Credential :
Telephone Number : 513-486-8926
Provider Enumeration Date : 04/05/2016
Last Update Date : 04/05/2016

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Directions to “COMPLETE COMFORT HOME CARE PROVIDERS LLC ” Practice Location

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