MEDICARE: COMPLETE COMFORT PERSONAL CARE SVC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1700524121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE COMFORT PERSONAL CARE SVC

Provider Business Mailing Address
First Line	:	26310 RICHWOOD OAKS DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0309
Country	:	US
Telephone Number	:	346-341-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	26310 RICHWOOD OAKS DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0309
Country	:	US
Telephone Number	:	346-341-9900
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DEBORAH DENISE LOWE
Credential	:	RN
Telephone Number	:	346-341-9900

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	05/25/2022

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