Complete Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPLETE HOME HEALTH CARE, LLC

Practice address

805 Eagleridge Blvd
Pueblo, CO 81008-2193

Phone

(719) 546-2610

Fax

(719) 546-2615

NPI assigned

Dec 1, 2006

Last updated

Feb 19, 2025By 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. Holly Davis

Title

Cfo

Phone

(720) 457-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780752436. Details of each certification follow.

• CCN 067338 Home health agency · Active · Details

Home health agency certification: CCN 067338

Legal name

COMPLETE HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 27, 2001

Last certification

Jul 11, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 29, 2001 in CO

Enrollment address

805 Eagleridge Blvd 160
Pueblo, CO 81008-2194

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Complete Home Health Care LLC

  • Home Health Agency
  • Longmont, CO
  • NPI 1497748024

  9234048612

  Same PAC ID

Listed as

Complete Home Health Care LLCCCN 067338 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Apr 27, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Tax ID family

Complete Home Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Complete Home Health Care LLC

  • Home Health Agency
  • Longmont, CO
  • NPI 1497748024
  NPD tax ID
• Complete Home Health Care LLC

  dba Complete Home Health Care

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1881122638
  NPD tax ID
• Complete Home Health Care, LLC

  dba Complete Home Health Care

  • Home Health Agency
  • Longmont, CO
  • NPI 1265960017
  NPD tax ID

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1780752436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 KANSAS AVE STE AANDB",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016500",
            "telephone_number": "720-457-3200",
            "fax_number": "303-468-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082193",
            "telephone_number": "719-546-2610",
            "fax_number": "719-546-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3204 N Academy Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175164",
            "country_code": "US",
            "telephone_number": "719-599-7902",
            "fax_number": "719-599-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-457-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780752436",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.