Complete Private Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

RN237915 Issued in MA

Legal business name

COMPLETE PRIVATE HOME CARE, INC.

Practice address

58 Old Bay Rd
Bolton, MA 01740-1315

Phone

(508) 244-1530

NPI assigned

Jul 10, 2012

Last updated

Feb 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Cochrane, RN

Title

Managing Partner

Phone

(508) 244-1530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184989600. Details of each certification follow.

• CCN 227602 Home health agency · Active · Details

Home health agency certification: CCN 227602

Legal name

COMPLETE PRIVATE HOME CARE INC

Doing business as

COMPLETE VNA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 29, 2015

Last certification

Apr 29, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 3, 2012 in MA

Enrollment address

89 Main Street
Suite 203
Milford, MA 01757
HHA Branch

Listed as

Complete VnaCCN 227602 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Apr 29, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1184989600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "address_2": "SUITE 203",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572600",
            "telephone_number": "508-244-1530",
            "fax_number": "606-644-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD BAY RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401315",
            "telephone_number": "508-244-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PRIVATE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "COCHRANE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "508-244-1530",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "RN237915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bolton, MA
• Providers in Bolton, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.

Verify at the official NPI Registry.