Provider Demographics
NPI:1871001800
Name:COMPLETE CARE HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:COMPLETE CARE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-418-8448
Mailing Address - Street 1:1377 CHATFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6619
Mailing Address - Country:US
Mailing Address - Phone:321-418-8448
Mailing Address - Fax:
Practice Address - Street 1:795 PRIMERA BLVD STE 1011
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2191
Practice Address - Country:US
Practice Address - Phone:321-418-8448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies