Complete Life Care

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

116568 Issued in TX

Legal business name

COMPLETE LIFE CARE

Practice address

6647 Cades Cove
San Antonio, TX 78056

Phone

(210) 520-0774

Fax

(210) 520-7260

NPI assigned

May 23, 2006

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Leigh Calvert

Title

Adminstrator

Phone

(210) 520-0774

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1780639245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6647 CADES COVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78056",
            "telephone_number": "210-520-0774",
            "fax_number": "210-520-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 CADES COVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78056",
            "telephone_number": "210-520-0774",
            "fax_number": "210-520-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "210-520-0774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "116568",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "115509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete DX Limited Liability Company
• Complete Emergency Care City Base LLC (Brooks City Base Complete Care)
• Complete Emergency Care de Zavala LLC
• Complete Emergency Care I LLC
• Complete Family Dentistry
• Complete Solutions RX LLC (Complete Solutions Rx)
• Completecare Home Health LLC
• Complex Rehab Technologies LLC (Reliable Medical Supply)
• Comprehensive Chiropractic & Osteopathy
• Comprehensive Home Health, Inc.

• Intellectual Disabilities Intermediate Care Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

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