Organization Active NPI

Completecare Comprehensive Healthcare Solutions, LP

  • Durable Medical Equipment & Medical Supplies
  • Longview, TX
National Provider Identifier
1922050848
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0082811 Issued in TX
Legal business name
COMPLETECARE COMPREHENSIVE HEALTHCARE SOLUTIONS, LP
Practice address
100D Rothrock
Longview, TX 75602-1535
Phone
(903) 757-4100
Fax
(903) 757-4125
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Mr. Robert McKinney Wheeler Jr.
Title
President
Phone
(903) 757-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0082811 TX Primary

Addresses

Primary practice location

100D Rothrock
Longview, TX 75602-1535

Mailing address

100D Rothrock
Longview, TX 75602-1535
Phone (903) 757-4100

Other identifiers 2

IdentifierTypeStateIssuer
177986002MedicaidTX
177986001MedicaidTX

Other names 1

  • CompleteCare Doing business as

National Provider Directory

National Provider Directory

Locations

100 Rothrock Dr
#D
Longview, TX 75602
Phone (903) 757-4100

100D Rothrock Dr
Longview, TX 75602
Phone (903) 757-4100

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1922050848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100D ROTHROCK",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021535",
            "telephone_number": "903-757-4100",
            "fax_number": "903-757-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100D ROTHROCK",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021535",
            "telephone_number": "903-757-4100",
            "fax_number": "903-757-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETECARE COMPREHENSIVE HEALTHCARE SOLUTIONS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MCKINNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-757-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0082811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177986002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177986001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompleteCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.