Provider Demographics
NPI:1407814312
Name:COMPLETE CARE, INC
Entity Type:Organization
Organization Name:COMPLETE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-845-0883
Mailing Address - Street 1:PO BOX 681009
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-1611
Mailing Address - Country:US
Mailing Address - Phone:256-845-0883
Mailing Address - Fax:256-845-3018
Practice Address - Street 1:503 GAULT AVE S
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-1707
Practice Address - Country:US
Practice Address - Phone:256-845-0883
Practice Address - Fax:256-845-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL54422OtherBCBS OF AL
AL000054422Medicaid
AL000054422Medicaid