NPIMap

Organization Active NPI

Complete Care Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Newark, DE
National Provider Identifier
1699303941
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLETE CARE MEDICAL SUPPLY LLC
Doing business as
Complete Care Medical Supply LLC
Practice address
3 Blue Ridge Blvd
Newark, DE 19702-2979
Phone
(732) 500-0612
NPI assigned
Mar 31, 2020
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Mr. Abiodun SobowaleNPI 1154099240
Title
Owner
Phone
(732) 500-0612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3 Blue Ridge Blvd
Newark, DE 19702-2979

Mailing address

3 Blue Ridge Blvd
Newark, DE 19702-2979
Phone (732) 500-0612

Other names 1

  • COMPLETE CARE MEDICAL SUPPLY LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1699303941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLUE RIDGE BLVD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022979",
            "telephone_number": "732-500-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLUE RIDGE BLVD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022979",
            "telephone_number": "732-500-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "SOBOWALE",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-500-0612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE CARE MEDICAL SUPPLY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.