Complete Care at Home - North Florida, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMPLETE CARE AT HOME - NORTH FLORIDA, LLC.

Practice address

515 Palm Coast Pkwy SW
Palm Coast, FL 32137-4739

Phone

(386) 271-2737

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By 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

Carolyn June Aijian, RN

Title

Administrator

Phone

(805) 452-6688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1497593818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PALM COAST PKWY SW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374739",
            "telephone_number": "386-271-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PALM COAST PKWY SW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374739",
            "telephone_number": "386-271-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT HOME - NORTH FLORIDA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "AIJIAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-452-6688",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Mason Combs II, MD
• Comfortable Care Dental Health Professionals (Smiles on Cypress Point)
• Comfortable Care Dental Health Professionals, P.a. (Old Kings Dental Care)
• Comfortable Care Dental Health Professionals, PA (Palm Coast Dental Care)
• Communication Clinic, LLC
• Esmeralda Concepcion
• Concierge Care of Palm Coast LLC (Concierge Care)
• Concorde Loving Care, Inc.
• Carol J Concorde
• Confident Care of Florida Corp

• In Home Supportive Care Agency in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.