Complete Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

B4807W Issued in MI

Legal business name

COMPLETE HOME HEALTH CARE, LLC

Practice address

30840 Northwestern Hwy
Suite 120
Farmington Hills, MI 48334-2552

Phone

(248) 932-0335

Fax

(248) 932-0382

NPI assigned

Feb 24, 2006

Last updated

Aug 22, 2020By 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

Mrs. Chitra Suresh

Title

Administrator

Phone

(248) 932-0335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295701712. Details of each certification follow.

• CCN 237638 Home health agency · Active · Details

Home health agency certification: CCN 237638

Legal name

COMPLETE HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 30, 2006

Last certification

Oct 7, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 26, 2015 in MI

Enrollment address

20663 Churchill Ave
Brownstown TWP, MI 48183-5072
HHA Branch

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Complete Home Health Care, LLC

  • Home Health Agency
  • Brownstown TWP, MI
  • NPI 1831218841

  O20060713000343

  Same enrollment

Listed as

Complete Home Health Care, LLCCCN 237638 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Nov 30, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 3

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

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.

• Meghanne Denise Decant, RN

  • Registered Nurse
  • Temperance, MI
  • NPI 1356651004
  NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295701712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30840 NORTHWESTERN HWY",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342552",
            "telephone_number": "248-932-0335",
            "fax_number": "248-932-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30840 NORTHWESTERN HWY",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342552",
            "telephone_number": "248-932-0335",
            "fax_number": "248-932-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURESH",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-932-0335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "B4807W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.