Organization Active NPI

Completecare Home Health Plus LLC

  • Home Health Agency
  • Norman, OK
National Provider Identifier
1245511880
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7127 Issued in OK
Legal business name
COMPLETECARE HOME HEALTH PLUS LLC
Practice address
15951 Little Axe Dr
Suite 1816
Norman, OK 73026-9088
Phone
(405) 701-7085
Fax
(405) 701-7605
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mr. John S Kelly
Title
Manager/Ceo
Phone
(405) 928-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7127 OK Primary

Addresses

Primary practice location

15951 Little Axe Dr
Suite 1816
Norman, OK 73026-9088

Mailing address

2401 Tee Cir
Suite 207
Norman, OK 73069-6207
Phone (405) 928-2727

Other identifiers 1

IdentifierTypeStateIssuer
100726080DMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

301 N 2nd St
Ste 102
McAlester, OK 74501
Phone (918) 302-3300

15951 Little Axe Dr
Ste 1816
Norman, OK 73026
Phone (405) 701-7085

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the seller Absentee Shawnee Tribal Health SystemCCN 377286, OK, NPI 1568952307

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1245511880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TEE CIR",
            "address_2": "SUITE 207",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696207",
            "telephone_number": "405-928-2727",
            "fax_number": "405-928-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "address_2": "SUITE 1816",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-701-7085",
            "fax_number": "405-701-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETECARE HOME HEALTH PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "405-928-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100726080D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.