NPIMap

Organization Active NPI

Complete Care Supported Living Service Agency

  • In Home Supportive Care Agency
  • Cincinnati, OH
National Provider Identifier
1669850228
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPLETE CARE SUPPORTED LIVING SERVICE AGENCY
Practice address
8250 Winton Rd Ste 102
Cincinnati, OH 45231-5916
Phone
(513) 873-2212
NPI assigned
May 14, 2015
Last updated
May 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Mr. Juante Hall
Title
Owner
Phone
(513) 873-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X OH Primary

Addresses

Primary practice location

8250 Winton Rd Ste 102
Cincinnati, OH 45231-5916

Mailing address

8250 Winton Rd Ste 102
Cincinnati, OH 45231-5916
Phone (513) 873-2212

Other identifiers 1

IdentifierTypeStateIssuer
0104122MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1669850228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 WINTON RD STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315916",
            "telephone_number": "513-873-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 WINTON RD STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315916",
            "telephone_number": "513-873-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE SUPPORTED LIVING SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JUANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-873-2212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104122",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.