Active NPI
Complete Healthcare Services, Inc
- Home Health Agency
- Massillon, OH
National Provider Identifier
1114142114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMPLETE HEALTHCARE SERVICES, INC
- Doing business as
- Complete Healthcare Services, Inc.
- Practice address
- 2815 Aaronwood Ave NE
Massillon, OH 44646-2371 - Phone
- (800) 785-1255
- Fax
- (330) 833-7328
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan P Sullivan
- Title
- Owner
- Phone
- (330) 322-0837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Primary |
Addresses
Primary practice location
2815 Aaronwood Ave NE
Massillon, OH 44646-2371
Mailing address
2815 Aaronwood Ave NE
Massillon, OH 44646-2371
Phone (800) 785-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0057903 | Medicaid | OH |
Other names 1
- Complete Healthcare Services, Inc.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jstreet@chcservicesinc.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101130000353 | OH | Part A Provider - Home Health Agency | 1557557790 | Practice locations: Massillon, OH |
Home health agency certification: CCN 368383
- Legal name
- COMPLETE HEALTHCARE SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 8, 2011
- Last certification
- Nov 8, 2011
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 14, 2002 in OH
- Enrollment address
- 2815 Aaronwood Ave NE
Massillon, OH 44646-2371
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Complete Healthcare Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 8, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2012296 | Complete Healthcare Services, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2815 Aaronwood Ave NE
Massillon, OH 44646
Phone (330) 837-8300
938 Amherst Rd NE
Massillon, OH 44646
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDDADA
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ryan Sullivan | 5% Or Greater Direct Ownership Interest | Jan 10, 2025 | 100% |
| Jamalene J Street | W-2 Managing Employee | Sep 15, 2015 | 85% |
| Nicole Chaplin | W-2 Managing Employee | Sep 6, 2018 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1114142114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 AARONWOOD AVE NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462371",
"telephone_number": "800-785-1255",
"fax_number": "330-833-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 AARONWOOD AVE NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462371",
"telephone_number": "800-785-1255",
"fax_number": "330-833-7328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE HEALTHCARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-322-0837",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0057903",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jstreet@chcservicesinc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2815 Aaronwood Ave NE",
"city": "Massillon",
"state": "OH",
"country_code": "US",
"postal_code": "446462371",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Complete Healthcare Services, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.