Active NPI
Complete Home Healthcare, LLC
- Home Health Agency
- Desoto, TX
National Provider Identifier
1922450451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMPLETE HOME HEALTHCARE, LLC
- Practice address
- 938 Marisa LN
Desoto, TX 75115-3880 - Phone
- (214) 707-8701
- NPI assigned
- Jul 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamika D. Johnson
- Title
- Administrator
- Phone
- (800) 318-0121
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Hearing Aid Equipment | 332S00000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
938 Marisa LN
Desoto, TX 75115-3880
Mailing address
938 Marisa LN
Desoto, TX 75115-3880
Phone (214) 707-8701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4056772 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Https: |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Desoto, TX
- NPI 1427659853
-
- Social Worker
- Mesquite, TX
- NPI 1689359614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595116800000",
"number": "1922450451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 MARISA LN",
"city": "DESOTO",
"state": "TX",
"postal_code": "751153880",
"telephone_number": "214-707-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 MARISA LN",
"city": "DESOTO",
"state": "TX",
"postal_code": "751153880",
"telephone_number": "214-707-8701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-08",
"last_updated": "2020-07-19",
"certification_date": "2020-07-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TAMIKA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "800-318-0121"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4056772",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Https:",
"affiliation": "N",
"address_1": "938 Marisa Ln",
"city": "DeSoto",
"state": "TX",
"country_code": "US",
"postal_code": "751153880",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.