Provider Demographics
NPI:1013943422
Name:COMPLETE HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIHURANI
Authorized Official - Middle Name:
Authorized Official - Last Name:GAKUU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-713-0441
Mailing Address - Street 1:6415 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1824
Mailing Address - Country:US
Mailing Address - Phone:610-713-0441
Mailing Address - Fax:610-713-0443
Practice Address - Street 1:6415 MARKET ST
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1824
Practice Address - Country:US
Practice Address - Phone:610-713-0441
Practice Address - Fax:610-713-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02560501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101564423 0001Medicaid
PA101564423 0001Medicaid