Organization Active NPI

Complete Home Health, Inc.

  • Home Health Agency
  • Clarksville, TN
National Provider Identifier
1629075528
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000293 Issued in TN
Legal business name
COMPLETE HOME HEALTH, INC.
Practice address
321 N Spring St
Suite 200
Clarksville, TN 37040-3135
Phone
(931) 552-3782
Fax
(931) 645-7663
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mr. Jason B Elliott
Title
VP of Operations
Phone
(931) 552-3782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000293 TN Primary

Addresses

Primary practice location

321 N Spring St
Suite 200
Clarksville, TN 37040-3135

Mailing address

321 N Spring St
Suite 200
Clarksville, TN 37040-3135
Phone (931) 552-3782

Other identifiers 2

IdentifierTypeStateIssuer
4138455OtherTNBLUECROSS BLUESHIELD
157527OtherTNTNCARE

Other names 1

  • A-Certive Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A-Certive Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

105 Westpark Dr
Ste 440
Brentwood, TN 37027
Phone (615) 373-4110

298 Clear Sky Ct
Ste A
Clarksville, TN 37043
Phone (931) 552-1674

321 N Spring St
Ste 200
Clarksville, TN 37040
Phone (931) 552-3782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1629075528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N SPRING ST",
            "address_2": "SUITE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403135",
            "telephone_number": "931-552-3782",
            "fax_number": "931-645-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N SPRING ST",
            "address_2": "SUITE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403135",
            "telephone_number": "931-552-3782",
            "fax_number": "931-645-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "931-552-3782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4138455",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNCARE",
            "identifier": "157527",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-Certive Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.