Complete Care Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC1765 Issued in NC

Legal business name

COMPLETE CARE INC.

Practice address

404 W Warren St
Shelby, NC 28150-5330

Phone

(704) 480-9340

Fax

(704) 480-0814

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Fain

Title

Vice President

Phone

(704) 480-9340

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1689688665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-480-9340",
            "fax_number": "704-480-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-480-9340",
            "fax_number": "704-480-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "FAIN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-480-9340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC1765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409092",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600647",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.