Complete Homecare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003520 Issued in TX

Legal business name

COMPLETE HOMECARE SERVICES, INC.

Practice address

942 Visador Road
Jasper, TX 75951-4222

Phone

(409) 384-3040

Fax

(409) 386-0159

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ernesto Domenech

Title

President

Phone

(409) 384-3040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 678027

Legal name

COMPLETE HOMECARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 6, 1995

Last certification

Sep 24, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 21, 1995 in TX

Enrollment address

942 Visador Rd
Jasper, TX 75951-4222
HHA Branch

Listed as

Complete Homecare Services IncCCN 678027 · All quality measures

Ownership

Proprietary

Certified

Sep 6, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780745737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 VISADOR ROAD",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514222",
            "telephone_number": "409-384-3040",
            "fax_number": "409-386-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 VISADOR ROAD",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514222",
            "telephone_number": "409-384-3040",
            "fax_number": "409-386-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMENECH",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-384-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paulette Collins
• Complete Healthcare Services RHC PLLC (Complete Healthcare Services RHC - Jasper)
• Consolidated First Choice Home Health, Inc.
• James Mary Cooper, D.C.
• Country Road Emergency Physicians, PLLC
• CP Ambulance Services LLC
• Susan Irene Craft, HIS

• Home Health Agency in Jasper, TX
• Providers in Jasper, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.