NPIMap

Organization Active NPI

Complementary Care LLC

  • Home Health Agency
  • Apache Junction, AZ
National Provider Identifier
1174052799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLEMENTARY CARE LLC
Practice address
151 W Superstition Blvd # 4543
Apache Junction, AZ 85120-4124
Phone
(623) 999-2273
NPI assigned
Jun 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Peggy J Bradley, FNP-CNPI 1326407628
Title
Owner
Phone
(623) 999-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

151 W Superstition Blvd # 4543
Apache Junction, AZ 85120-4124

Mailing address

151 W Superstition Blvd # 4543
Apache Junction, AZ 85120-4124
Phone (623) 999-2273

Other practice location 1

690 N Muleshoe Rd
Apache Junction, AZ 85119-9868
Phone (480) 772-0911

National Provider Directory

National Provider Directory

Locations

151 W Superstition Blvd
#4543
Apache Junction, AZ 85120
Phone (623) 999-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174052799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W SUPERSTITION BLVD # 4543",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204124",
            "telephone_number": "623-999-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W SUPERSTITION BLVD # 4543",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851204124",
            "telephone_number": "623-999-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 N Muleshoe Rd",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851199868",
            "country_code": "US",
            "telephone_number": "480-772-0911",
            "fax_number": "480-772-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLEMENTARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-999-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.