COMPLETE HOME CARE (CHV HOME MEDICAL EQUIPMENT COMPANY, LLC) NPI 1023290293

Durable Medical Equipment & Medical Supplies in Massillon, OH

NPI 1023290293 Organization Durable Medical Equipment & Medical Supp...

About COMPLETE HOME CARE (CHV HOME MEDICAL EQUIPMENT COMPANY, LLC)

Complete Home Care (chv Home Medical Equipment Company, Llc) is a provider established in Massillon, Ohio specializing in durable medical equipment & medical supplies. The NPI number of Complete Home Care (chv Home Medical Equipment Company, Llc) is 1023290293 and was assigned on November 2007. The practitioner's primary taxonomy code is 332B00000X with license number 77190692 (OH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Complete Home Care. The authorized official of this NPI record is Mr. Jerry Bauman (Vp Business Development)

NPI

1023290293

Provider NameCOMPLETE HOME CARE (CHV HOME MEDICAL EQUIPMENT COMPANY, LLC)
Provider Location Address930 AMHERST RD NE MASSILLON, OH 44646
Provider Mailing Address160 OPPORTUNITY PKWY AKRON, OH 44307
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameCOMPLETE HOME CARE
Other Name TypeDoing Business As (3)
Enumeration Date11-29-2007
Last Update Date11-29-2007


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
License No.77190692
License StateOH
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

COMPLETE HOME CARE
930 AMHERST RD NE
MASSILLON, OH
ZIP 44646
Phone: (800) 524-2362
Fax: (330) 434-6550

Get Directions


Mailing Address

COMPLETE HOME CARE
160 OPPORTUNITY PKWY
AKRON, OH
ZIP 44307
Phone: (330) 434-1114
Fax: (330) 434-6550



Authorized Official

Authorized Official NameMR. JERRY BAUMAN
Authorized Official TitleVP BUSINESS DEVELOPMENT
Authorized Official Phone(330) 745-1601

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2173188MEDICAID (05)OH

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083716484CHV HOME MEDICAL EQUIPMENT COMPANY, LLC
Organization
Durable Medical Equipment & Medical Supplies930 AMHERST RD NE
MASSILLON, OH 44646
(800) 524-2362
1659848893 SHALEASHA MONIQUE JOHNSON LSW
Individual
Social Worker930 AMHERST RD NE
MASSILLON, OH 44646
(330) 685-9606

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.