COMPLEMENTARY CARE LLC
NPI 1174052799
Home Health in Apache Junction, AZ

Active since June 07, 2017
151 W SUPERSTITION BLVD # 4543, APACHE JUNCTION, AZ 85120(623) 999-2273 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 26, 2017 and 1 more (4 updates tracked since 2017).

  • Organization
  • Home Health

About COMPLEMENTARY CARE LLC

This page provides the complete NPI Profile along with additional information for Complementary Care Llc, a provider established in Apache Junction, Arizona operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1174052799 assigned on June 2017. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Peggy J Bradley Fnp-c (Owner)

NPI
1174052799 Verify this NPI
Provider Name
COMPLEMENTARY CARE LLC
Entity Type
Organization
Location Address
151 W SUPERSTITION BLVD # 4543 APACHE JUNCTION, AZ 85120
Location Phone
(623) 999-2273
Mailing Address
151 W SUPERSTITION BLVD # 4543 APACHE JUNCTION, AZ 85120
Mailing Phone
(623) 999-2273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2017
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 690 N Muleshoe Rd
    Apache Junction, AZ 85119
    (480) 772-0911

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PEGGY J BRADLEY FNP-C

Authorized Official Title
OWNER
Authorized Official Phone
(623) 999-2273

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174052799, enumerated as an "organization" on June 07, 2017.

The provider is located at 151 W SUPERSTITION BLVD # 4543 APACHE JUNCTION, AZ 85120 and the phone number is (623) 999-2273.

Home Health with taxonomy code 251E00000X.