Organization Active NPI

Complete Care Home Inc

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1801522149
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMPLETE CARE HOME INC
Practice address
19710 NW 9TH Dr
Pembroke Pines, FL 33029-3368
Phone
(954) 873-5831
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Grace Higgin-Bramwell
Title
Secretary
Phone
(954) 599-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

19710 NW 9TH Dr
Pembroke Pines, FL 33029-3368

Mailing address

19710 NW 9TH Dr
Pembroke Pines, FL 33029-3368
Phone (954) 873-5831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1801522149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 NW 9TH DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293368",
            "telephone_number": "954-873-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 NW 9TH DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293368",
            "telephone_number": "954-873-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "HIGGIN-BRAMWELL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "954-599-2177"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.