Provider Demographics
NPI:1629075528
Name:COMPLETE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:COMPLETE HOME HEALTH, INC.
Other - Org Name:A-CERTIVE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:B
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-552-3782
Mailing Address - Street 1:321 N SPRING ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3135
Mailing Address - Country:US
Mailing Address - Phone:931-552-3782
Mailing Address - Fax:931-645-7663
Practice Address - Street 1:321 N SPRING ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3135
Practice Address - Country:US
Practice Address - Phone:931-552-3782
Practice Address - Fax:931-645-7663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4138455OtherBLUECROSS BLUESHIELD
TN157527OtherTNCARE
TN157527OtherTNCARE