Organization Active NPI

Complete Homecare Illinois LLC

  • Home Health Agency
  • Bayside, NY
National Provider Identifier
1174459374
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE HOMECARE ILLINOIS LLC
Practice address
21212 Northern Blvd FL 3
Bayside, NY 11361-3388
Phone
(917) 847-0810
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Vikram Kaul
Title
President
Phone
(917) 847-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21212 Northern Blvd FL 3
Bayside, NY 11361-3388

Mailing address

21212 Northern Blvd FL 3
Bayside, NY 11361-3388
Phone (917) 847-0810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1174459374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHERN BLVD FL 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613388",
            "telephone_number": "917-847-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHERN BLVD FL 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613388",
            "telephone_number": "917-847-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOMECARE ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "KAUL",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-847-0810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.