Provider Demographics
NPI:1184989600
Name:COMPLETE PRIVATE HOME CARE, INC.
Entity type:Organization
Organization Name:COMPLETE PRIVATE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRANE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-244-1530
Mailing Address - Street 1:89 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2600
Mailing Address - Country:US
Mailing Address - Phone:508-244-1530
Mailing Address - Fax:606-644-1530
Practice Address - Street 1:58 OLD BAY RD
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740-1315
Practice Address - Country:US
Practice Address - Phone:508-244-1530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN237915251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health