Provider Demographics
NPI:1851060693
Name:COMPLETE HOME CARE MEDICAL EQUIPMENT, LLC.
Entity Type:Organization
Organization Name:COMPLETE HOME CARE MEDICAL EQUIPMENT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-804-6260
Mailing Address - Street 1:2610 NE 42ND PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-2178
Mailing Address - Country:US
Mailing Address - Phone:352-804-6260
Mailing Address - Fax:
Practice Address - Street 1:2610 NE 42ND PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34479-2178
Practice Address - Country:US
Practice Address - Phone:352-804-6260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies