Provider Demographics
NPI:1043725104
Name:COMPLETE HOME MEDICAL, LLC
Entity Type:Organization
Organization Name:COMPLETE HOME MEDICAL, LLC
Other - Org Name:MOBILITY & MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BUINICKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-821-7777
Mailing Address - Street 1:251 N TRADE ST
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-1713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:251 N TRADE ST
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-1713
Practice Address - Country:US
Practice Address - Phone:704-821-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies