Complete Care Diversified, Llc

LBN: Complete Care Diversified, Llc
Complete Care Diversified, Llc is an health care organization with primary practice located at 27511 Holiday Lane Suite 105, Perrysburg OH 43551-5315. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Complete Care Diversified, Llc can be contacted via phone (419) 873-3488, or through Miller, Andrew M via phone (419) 873-3488.

Contact Information

Primary practice address
27511 Holiday Lane Suite 105 Perrysburg OH 43551-5315
Phone: (419) 873-3488
Fax: (419) 873-4777
Website:
Map and Directions
Authorized official contact:
Name: Miller, Andrew M Physical Therapist (PT)
Phone: (419) 873-3488

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X PT012961 Ohio

Profile Details

NPI number 1821425042
LBN Legal business name Complete Care Diversified, Llc
DBA Doing business as
Authorized official Miller, Andrew M Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2013
Last updated Oct 2nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821425042 NPPES
Ohio MEDICAID 0076646

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