Provider Demographics
NPI:1801522149
Name:COMPLETE CARE HOME INC
Entity type:Organization
Organization Name:COMPLETE CARE HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGIN-BRAMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-599-2177
Mailing Address - Street 1:19710 NW 9TH DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3368
Mailing Address - Country:US
Mailing Address - Phone:954-873-5831
Mailing Address - Fax:
Practice Address - Street 1:19710 NW 9TH DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3368
Practice Address - Country:US
Practice Address - Phone:954-873-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility