Provider Demographics
NPI:1265960017
Name:COMPLETE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:COMPLETE HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOFTWARE IMPLEMENTATION
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-457-3200
Mailing Address - Street 1:2095 W 6TH AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1881
Mailing Address - Country:US
Mailing Address - Phone:720-457-3200
Mailing Address - Fax:303-502-9740
Practice Address - Street 1:1500 KANSAS AVE STE A&B
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6500
Practice Address - Country:US
Practice Address - Phone:720-652-0292
Practice Address - Fax:720-652-0295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87606251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health