MEDICARE: COMPLETE HOMECARE, INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0430530001	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11172501	OTHER		UNIVERA
3	56016	OTHER		NORTHWOOD
4	10120930	OTHER	NY	FIDELIS CARE OF NY
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	8251448	OTHER	NY	IHA
7	8251448	OTHER		INDEPENDENT HEALTH

General Provider Information

NPI Number	:	1487650206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HOMECARE, INC.

Provider Business Mailing Address
First Line	:	60 BROAD ST
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-2230
Country	:	US
Telephone Number	:	716-694-2255
Fax Number	:	716-694-2554

Provider Business Practice Location Address
First Line	:	60 BROAD ST
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-2230
Country	:	US
Telephone Number	:	716-694-2255
Fax Number	:	716-694-2554

Authorized Official
Title or Position	:	PRES./CEO.
Name	:	MR. ROGER A. HUBACHER
Credential	:	RRT
Telephone Number	:	716-694-2253

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	08/22/2020

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Directions to “COMPLETE HOMECARE, INC. ” Practice Location

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