Provider Demographics
NPI:1104811348
Name:COMPLETE HOME HEALTH SOLUTIONS
Entity type:Organization
Organization Name:COMPLETE HOME HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:972-224-7800
Mailing Address - Street 1:1512 OSPREY DR
Mailing Address - Street 2:106
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8821
Mailing Address - Country:US
Mailing Address - Phone:972-224-7800
Mailing Address - Fax:972-224-7825
Practice Address - Street 1:1512 OSPREY DR
Practice Address - Street 2:106
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8821
Practice Address - Country:US
Practice Address - Phone:972-224-7800
Practice Address - Fax:972-224-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0060754332BX2000X, 332BP3500X, 332BD1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4519140001Medicare NSC