NPIMap

Organization Active NPI

Complete Home Care Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • North Little Rock, AR
National Provider Identifier
1215018387
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000001546 Issued in AR
Legal business name
COMPLETE HOME CARE SUPPLY INC.
Doing business as
Complete Home Care Supply Inc.
Practice address
5309 McClanahan Dr Ste F4
North Little Rock, AR 72116-7075
Phone
(800) 280-2050
Fax
(501) 753-1635
NPI assigned
Oct 17, 2006
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mr. Jeral Dean HowardNPI 1336338797
Title
President
Phone
(800) 280-2050

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000001546 AR Primary

Addresses

Primary practice location

5309 McClanahan Dr Ste F4
North Little Rock, AR 72116-7075

Mailing address

5309 McClanahan Drive, Ste. F-4
North Little Rock, AR 72116
Phone (800) 280-2050

Other identifiers 1

IdentifierTypeStateIssuer
141600716MedicaidAR

Other names 1

  • COMPLETE HOME CARE SUPPLY INC. Doing business as

National Provider Directory

National Provider Directory

Locations

5309 McClanahan Dr
Ste F4
North Little Rock, AR 72116
Phone (501) 771-0836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1215018387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 MCCLANAHAN DRIVE, STE. F-4",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "800-280-2050",
            "fax_number": "501-753-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 MCCLANAHAN DR STE F4",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167075",
            "telephone_number": "800-280-2050",
            "fax_number": "501-753-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME CARE SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JERAL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-280-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "0000001546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141600716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE HOME CARE SUPPLY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.