Organization Active NPI

Complete in-Home Therapy LLC

  • Multi-Specialty Clinic/Center
  • Ashford, CT
National Provider Identifier
1750635967
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
LLC 1084683 Issued in CT
Legal business name
COMPLETE IN-HOME THERAPY LLC
Practice address
430 Mansfield Rd
Ashford, CT 06278-1416
Phone
(860) 573-4923
NPI assigned
Nov 9, 2012
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Mr. Keith Alexander Lyons, MS, RPTNPI 1902014178
Title
Member
Phone
(860) 573-4923

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
Multi-Specialty Clinic/Center 261QM1300X LLC 1084683 CT Primary

Addresses

Primary practice location

430 Mansfield Rd
Ashford, CT 06278-1416

Mailing address

430 Mansfield Rd
Ashford, CT 06278-1416
Phone (860) 573-4923

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": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1750635967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MANSFIELD RD",
            "city": "ASHFORD",
            "state": "CT",
            "postal_code": "062781416",
            "telephone_number": "860-573-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MANSFIELD RD",
            "city": "ASHFORD",
            "state": "CT",
            "postal_code": "062781416",
            "telephone_number": "860-573-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE IN-HOME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-573-4923",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, RPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CT",
            "license": "LLC 1084683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.