Organization Active NPI

Complete Integrated Healthcare LLC

  • In Home Supportive Care Agency
  • Crossett, AR
National Provider Identifier
1437976792
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPLETE INTEGRATED HEALTHCARE LLC
Practice address
308 Main St Ste B
Crossett, AR 71635-2928
Phone
(870) 304-2071
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Erica Downs
Title
Member/Manager
Phone
(870) 310-6726

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

308 Main St Ste B
Crossett, AR 71635-2928

Mailing address

PO Box 56
Crossett, AR 71635-0056
Phone (870) 304-2071

National Provider Directory

National Provider Directory

Locations

308 Main St
Ste B
Crossett, AR 71635
Phone (870) 304-2071

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1437976792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350056",
            "telephone_number": "870-304-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST STE B",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352928",
            "telephone_number": "870-304-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE INTEGRATED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "870-310-6726"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.