Provider Demographics
NPI:1346063674
Name:COMPLETE HOME CARE OF TAMPA LLC
Entity type:Organization
Organization Name:COMPLETE HOME CARE OF TAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ALVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-408-7096
Mailing Address - Street 1:5601 EXECUTIVE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2803
Mailing Address - Country:US
Mailing Address - Phone:972-982-7290
Mailing Address - Fax:
Practice Address - Street 1:2202 N WEST SHORE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5749
Practice Address - Country:US
Practice Address - Phone:813-733-4320
Practice Address - Fax:813-733-4459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health