Organization Active NPI

Complete Family Care LLC

  • Home Health Agency
  • Prescott Valley, AZ
National Provider Identifier
1144831728
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE FAMILY CARE LLC
Practice address
7361 E Plateau Ridge Rd
Prescott Valley, AZ 86315-3470
Phone
(928) 899-0387
Fax
(928) 227-1247
NPI assigned
Aug 16, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Bradley Allen Robertson
Title
Chief Executive Officer
Phone
(928) 899-0387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7361 E Plateau Ridge Rd
Prescott Valley, AZ 86315-3470

Mailing address

7361 E Plateau Ridge Rd
Prescott Valley, AZ 86315-3470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bradleyallen0125@icloud.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1144831728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 E PLATEAU RIDGE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863153470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 E PLATEAU RIDGE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863153470",
            "telephone_number": "928-899-0387",
            "fax_number": "928-227-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "928-899-0387"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradleyallen0125@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Business Direct Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Any HIPPA Compliance conversations",
            "address_1": "7361 E Plateau Ridge Rd",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863153470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.