Organization Active NPI

Complete Homecare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tonawanda, NY
National Provider Identifier
1487650206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLETE HOMECARE, INC.
Practice address
60 Broad St
Tonawanda, NY 14150-2230
Phone
(716) 694-2255
Fax
(716) 694-2554
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Roger A. Hubacher, RRT
Title
Pres./Ceo.
Phone
(716) 694-2253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

60 Broad St
Tonawanda, NY 14150-2230

Mailing address

60 Broad St
Tonawanda, NY 14150-2230
Phone (716) 694-2255

Other identifiers 7

IdentifierTypeStateIssuer
11172501OtherUNIVERA
0430530001OtherMEDICARE
56016OtherNORTHWOOD
10120930OtherNYFIDELIS CARE OF NY
00643292MedicaidNY
8251448OtherNYIHA
8251448OtherINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

Locations

60 Broad St
Tonawanda, NY 14150
Phone (716) 694-2253

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487650206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BROAD ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502230",
            "telephone_number": "716-694-2255",
            "fax_number": "716-694-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BROAD ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502230",
            "telephone_number": "716-694-2255",
            "fax_number": "716-694-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBACHER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRES./CEO.",
        "authorized_official_telephone_number": "716-694-2253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "11172501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0430530001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD",
            "identifier": "56016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE OF NY",
            "identifier": "10120930",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00643292",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "8251448",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8251448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.