Organization Active NPI

Complete Care Connect, LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1245841014
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE CARE CONNECT, LLC
Practice address
6430 E Main St Ste 203
Reynoldsburg, OH 43068-2367
Phone
(614) 230-0332
Fax
(614) 423-5573
NPI assigned
Aug 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Om Gautam
Title
Admin
Phone
(443) 627-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6430 E Main St Ste 203
Reynoldsburg, OH 43068-2367

Mailing address

6430 E Main St Ste 203
Reynoldsburg, OH 43068-2367
Phone (614) 230-0332

Other names 1

  • Complete Care Connect Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2234429Complete Care Connect, LLC6430 E Main St Suite 203, Reynoldsburg, OH 43068Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Locations

7231 Taylorsville Rd
Ste 210
Huber Heights, OH 45424

7229 Taylorsville Rd
Ste 210
Huber Heights, OH 45424

6430 E Main St
Ste 203
Reynoldsburg, OH 43068
Phone (614) 230-0332

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1245841014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 E MAIN ST STE 203",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682367",
            "telephone_number": "614-230-0332",
            "fax_number": "614-423-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 E MAIN ST STE 203",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682367",
            "telephone_number": "614-230-0332",
            "fax_number": "614-423-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE CONNECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "GAUTAM",
        "authorized_official_first_name": "OM",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "443-627-1507"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Connect",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Care Connect",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.