Complete Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPLETE HOME HEALTH CARE LLC

Practice address

1500 Kansas Ave Ste a&B
Longmont, CO 80501-6500

Phone

(720) 457-3200

Fax

(303) 502-9740

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Davis

Title

President

Phone

(720) 457-3200

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067415

Legal name

COMPLETE HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 24, 2001

Last certification

Sep 26, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 29, 2001 in CO

Enrollment address

1500 Kansas Ave
Unit a-B
Longmont, CO 80501-6500

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Complete Home Health Care, LLC

  • Home Health Agency
  • Pueblo, CO
  • NPI 1780752436

  9234048612

  Same PAC ID

Listed as

Complete Home Health Care LLCCCN 067415

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Mar 24, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Complete Home Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Complete Home Health Care LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1881122638
  NPD tax ID
• Complete Home Health Care, LLC

  • Home Health Agency
  • Longmont, CO
  • NPI 1265960017
  NPD tax ID
• Complete Home Health Care, LLC

  • Home Health Agency
  • Pueblo, CO
  • NPI 1780752436
  NPD tax ID

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Benjamin Martinez-Andujo, NP

  • Family Nurse Practitioner
  • Keenesburg, CO
  • NPI 1952321150

  Home health agency

  Care Compare affiliation
• Jill R. Vanwyk, M.D.

  • Family Medicine Physician
  • Boulder, CO
  • NPI 1235287541

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1497748024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 KANSAS AVE STE A&B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016500",
            "telephone_number": "720-457-3200",
            "fax_number": "303-502-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 KANSAS AVE STE A&B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016500",
            "telephone_number": "720-457-3200",
            "fax_number": "303-502-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-457-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62253743",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47335742",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Longmont, CO
• Providers in Longmont, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.