Complete Care Support Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPLETE CARE SUPPORT SERVICES INC

Practice address

5602 Baltimore National Pike Ste 306
Catonsville, MD 21228-1410

Phone

(410) 521-1600

Fax

(410) 916-7946

NPI assigned

Jan 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jay Jay

Title

Admin

Phone

(410) 521-1600

Specialties & licenses 1

Addresses

Other names 1

• COMPLETE CARE SUPPORT SERVICES INC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1083202642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 BALTIMORE NATIONAL PIKE STE 306",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281410",
            "telephone_number": "410-521-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 BALTIMORE NATIONAL PIKE STE 306",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281410",
            "telephone_number": "410-521-1600",
            "fax_number": "410-916-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "410-521-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE CARE SUPPORT SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "COMPLETE CARE SUPPORT SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.