Complete Senior Care

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COMPLETE SENIOR CARE

Practice address

1302 Main St
Niagara Falls, NY 14301-1118

Phone

(716) 285-8224

Fax

(716) 285-8232

NPI assigned

Jun 20, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Ronald Dafoe

Title

Controller

Phone

(716) 285-8224

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1497041388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MAIN ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011118",
            "telephone_number": "716-285-8224",
            "fax_number": "716-285-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MAIN ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011118",
            "telephone_number": "716-285-8224",
            "fax_number": "716-285-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "DAFOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "716-285-8224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03320725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Missions of Niagara Frontier, Inc.
• Compass Mental Health Counseling PLLC
• Compassion Corp
• Compassionate Care of Niagara Inc
• Complete Mobile Diagnostics LLC
• Bernadette Marie Confer
• Connected Community Care Wny
• Rachael Blair Considine, MS
• Brianna Constantino, MSW
• Christopher Conte, RN

• Health Maintenance Organization in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.