MEDICARE: COMPLETE HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251E00000X	Home Health Agency
4	251T00000X	PACE Provider Organization
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	261QM0850X	Adult Mental Health Clinic/Center
7	261QM0855X	Adolescent and Children Mental Health Clinic/Center
8	332U00000X	Home Delivered Meals
9	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
10	385HR2065X	Child Physical Disabilities Respite Care
11	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1730905399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HEALTHCARE

Provider Business Mailing Address
First Line	:	4107 CHIP SPARROW LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-0262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 CHIP SPARROW LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-0262
Country	:	US
Telephone Number	:	980-613-2382
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEPHANIE RENEE HARRIS
Credential	:
Telephone Number	:	980-613-2382

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	11/27/2024

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Directions to “COMPLETE HEALTHCARE ” Practice Location

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