Organization Active NPI

Complete Home Care Services, Inc

  • Home Health Agency
  • Saint Albans, NY
National Provider Identifier
1750673679
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE HOME CARE SERVICES, INC
Practice address
20514 Linden Blvd Ste 204
Saint Albans, NY 11412-2934
Phone
(718) 528-5493
NPI assigned
May 11, 2011
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Davron Ibragimov
Title
RN
Phone
(513) 544-8163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

20514 Linden Blvd Ste 204
Saint Albans, NY 11412-2934

Mailing address

10820 62ND Dr Apt 2B
Forest Hills, NY 11375-1213
Phone (718) 528-5493

National Provider Directory

National Provider Directory

Locations

20514 Linden Blvd
Ste 204
Saint Albans, NY 11412
Phone (718) 528-5493

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1750673679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 62ND DR APT 2B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751213",
            "telephone_number": "718-528-5493",
            "fax_number": "718-525-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20514 LINDEN BLVD STE 204",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122934",
            "telephone_number": "718-528-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "IBRAGIMOV",
        "authorized_official_first_name": "DAVRON",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "513-544-8163"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.