Provider Demographics
NPI:1497748024
Name:COMPLETE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:COMPLETE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-441-5272
Mailing Address - Street 1:2095 W 6TH AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1881
Mailing Address - Country:US
Mailing Address - Phone:720-457-3200
Mailing Address - Fax:303-502-9740
Practice Address - Street 1:2095 W 6TH AVE STE 209
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1881
Practice Address - Country:US
Practice Address - Phone:720-457-3200
Practice Address - Fax:303-502-9740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62253743Medicaid
CO47335742Medicaid
CO47335742Medicaid
CO067415Medicare Oscar/Certification