Provider Demographics
NPI:1609614908
Name:COMPLETE HOME HEALTH CARE
Entity type:Organization
Organization Name:COMPLETE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CARIDAD
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-930-3688
Mailing Address - Street 1:1345 EVERGREEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060
Mailing Address - Country:US
Mailing Address - Phone:908-279-6417
Mailing Address - Fax:908-941-4721
Practice Address - Street 1:1345 EVERGREEN AVENUE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060
Practice Address - Country:US
Practice Address - Phone:908-279-6417
Practice Address - Fax:908-941-4721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health