Provider Demographics
NPI:1649434580
Name:COMPLETE FAMILY CARE LTD
Entity type:Organization
Organization Name:COMPLETE FAMILY CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NEWTON
Authorized Official - Middle Name:G
Authorized Official - Last Name:YCO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:775-815-0727
Mailing Address - Street 1:255 W PECKHAM LN STE 2
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5460
Mailing Address - Country:US
Mailing Address - Phone:775-853-8888
Mailing Address - Fax:
Practice Address - Street 1:255 W PECKHAM LN STE 2
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5460
Practice Address - Country:US
Practice Address - Phone:775-853-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVBW348AMedicare PIN