Provider Demographics
NPI:1285848952
Name:COMPLETE CAREGIVERS AND MORE
Entity Type:Organization
Organization Name:COMPLETE CAREGIVERS AND MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KETURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-381-2841
Mailing Address - Street 1:214 W 5TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3210
Mailing Address - Country:US
Mailing Address - Phone:931-381-2841
Mailing Address - Fax:931-381-2842
Practice Address - Street 1:214 W 5TH ST STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3210
Practice Address - Country:US
Practice Address - Phone:931-381-2841
Practice Address - Fax:931-381-2842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL438-136-3627251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4099726OtherBLUE CROSSBLUE SHEILD