Provider Demographics
NPI:1659921088
Name:COMPLETE HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:COMPLETE HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSALI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:NAGAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-624-8291
Mailing Address - Street 1:24655 SOUTHFIELD RD STE 109
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-8100
Mailing Address - Country:US
Mailing Address - Phone:734-624-8291
Mailing Address - Fax:248-552-1577
Practice Address - Street 1:24655 SOUTHFIELD RD STE 109
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-8100
Practice Address - Country:US
Practice Address - Phone:734-624-8291
Practice Address - Fax:248-552-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty