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COMPLETE CARE DIVERSIFIED, LLC
NPI 1821425042
Residential Treatment Facility, Physical Disabilities in Perrysburg, OH

Active since October 02, 2013
27511 HOLIDAY LANE, SUITE 105, PERRYSBURG, OH 43551(419) 873-3488(419) 873-4777 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Complete Care Diversified, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE CARE DIVERSIFIED, LLC (NPI 1821425042) is a healthcare organization registered as a residential treatment facility, physical disabilities in Perrysburg, Ohio and active in the NPI registry since October 2013. The organization lists Andrew M Miller, Owner / Pt, as its authorized official.

NPPES Registry Identity

NPI1821425042
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameCOMPLETE CARE DIVERSIFIED, LLC
Location Address27511 HOLIDAY LANE, SUITE 105Perrysburg, OH 43551-5315
Mailing Address27511 Holiday Lane, Suite 105Perrysburg, OH 43551-5315 · (419) 873-3488 · Fax (419) 873-4777
Phone(419) 873-3488
Fax(419) 873-4777
Organization SubpartNo
Authorized OfficialAndrew M MillerOwner / Pt · (419) 873-3488
Enumeration DateOctober 2, 2013
✔ NPI 1821425042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in OH · PT012961
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
27511 HOLIDAY LANE, Perrysburg, OH 43551
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Other Identifiers 1

Medicaid0076646OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUZETTE LYNN HUENEFELD MD
Family Medicine
27511 HOLIDAY LANE, SUITE #101
PERRYSBURG, OH 43551
Wood County (419) 872-0242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complete Care Diversified, LLC's NPI number?

The NPI number for Complete Care Diversified, LLC is 1821425042. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Complete Care Diversified, LLC located?

Complete Care Diversified, LLC is located at 27511 Holiday Lane Suite 105, Perrysburg, OH 43551. The listed phone number is (419) 873-3488.

What is Complete Care Diversified, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Complete Care Diversified, LLC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.