Provider Demographics
NPI:1740050400
Name:COMPLETE HOME ASSISTANCE L.L.C.
Entity type:Organization
Organization Name:COMPLETE HOME ASSISTANCE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-344-5678
Mailing Address - Street 1:3131 SUMTER AVE N APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-2767
Mailing Address - Country:US
Mailing Address - Phone:207-344-5678
Mailing Address - Fax:
Practice Address - Street 1:995 UNIVERSITY AVE W STE 101
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4754
Practice Address - Country:US
Practice Address - Phone:207-344-5678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health