Organization Active NPI

Complete Competent Care, Inc

  • Home Health Agency
  • Brick, NJ
National Provider Identifier
1598891335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0207100 Issued in NJ
Legal business name
COMPLETE COMPETENT CARE, INC
Practice address
836 Burnt Tavern Rd
Brick, NJ 08724-2540
Phone
(732) 206-1047
NPI assigned
Feb 26, 2007
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
Mrs. Sharon Ann Shafer, NONE
Title
President
Phone
(732) 206-1047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0207100 NJ Primary

Addresses

Primary practice location

836 Burnt Tavern Rd
Brick, NJ 08724-2540

Mailing address

836 Burnt Tavern Rd
Brick, NJ 08724-2540
Phone (732) 206-1047

Other identifiers 1

IdentifierTypeStateIssuer
6817602MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598891335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242540",
            "telephone_number": "732-206-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242540",
            "telephone_number": "732-206-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COMPETENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-206-1047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0207100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6817602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

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.