Organization Active NPI

Complete Care Solutions LLC

  • Home Health Agency
  • Derwood, MD
National Provider Identifier
1255925517
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE CARE SOLUTIONS LLC
Practice address
6108 Granby Rd
Derwood, MD 20855-1474
Phone
(301) 548-0100
Fax
(301) 548-1323
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Sonia Secreta Mundle Smith
Title
Owner/Administrator
Phone
(240) 994-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6108 Granby Rd
Derwood, MD 20855-1474

Mailing address

6108 Granby Rd
Derwood, MD 20855-1474
Phone (301) 548-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1255925517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 GRANBY RD",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551474",
            "telephone_number": "301-548-0100",
            "fax_number": "301-548-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 GRANBY RD",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551474",
            "telephone_number": "301-548-0100",
            "fax_number": "301-548-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MUNDLE SMITH",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "SECRETA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "240-994-4968"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.