COMPLETE CARE DIVERSIFIED, LLC – NPI #1821425042
Residential Treatment Facility, Physical Disabilities

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Physical Disabilities

COMPLETE CARE DIVERSIFIED, LLC is a residential treatment facility (RTF) located in PERRYSBURG, OH. NPPES has assigned the NPI number 1821425042 to COMPLETE CARE DIVERSIFIED, LLC on October 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPLETE CARE DIVERSIFIED, LLC below.

NPI Profile for
COMPLETE CARE DIVERSIFIED, LLC

NPI Number
1821425042
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPLETE CARE DIVERSIFIED, LLC
Primary location
27511 HOLIDAY LANE
SUITE 105
PERRYSBURG, OH 43551-5315
Phone: (419) 873-3488 Fax: (419) 873-4777
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW MILLER
OWNER / PT
Phone: (419) 873-3488
Updated
Identifiers

Identifiers for COMPLETE CARE DIVERSIFIED, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0076646
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)		 OH PT012961

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.