COMPLETE CARE MEDICAL CTR LLC (NPI# 1801054010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801054010 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE MEDICAL CTR LLC |
| Practice Address |
4660 Martin Luther King Jr Ave Sw #a3 Washington DC 20032-4933 |
| Mailing Address |
3611 Branch Ave Ste 106 Temple Hills MD 20748-1242 |
| Practice Telephone | 2025745136 |
| Practice Fax Number | 2025635387 |
| Mailing Telephone | 3013162009 |
| Mailing Fax Number | 3013162115 |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | MS. ANNA M THOMPSON (OPERATING MANAGER) |
| Authorized Official Telephone | 3013162009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4660 MARTIN LUTHER KING JR AVE SW #A3 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935591 | Juandena Jennings | Psychologist | 4660 Martin Luther King Jr Ave Sw, Washington, DC 20032-4933 | 2020-09-02 |
| 1699188367 | Healing Our Village of Maryland, Inc. | Chronic Disease Hospital | 4660 Martin Luther King Jr Ave Sw, A3, Washington, DC 20032-4933 | 2014-06-10 |
| 1942623624 | Derwin Hill | Student in an Organized Health Care Education/Training Program | 4660 Martin Luther King Jr Ave Sw, B904, Washington, DC 20032-4933 | 2014-01-30 |
| 1083963920 | Complete Care Medical Systems | Clinic/Center | 4660 Martin Luther King Jr Ave Sw, Washington, DC 20032-4933 | 2012-09-06 |
| 1225278245 | Sheriff Bockarie | Physician Assistant | 4660 Martin Luther King Jr Ave Sw, A3, Washington, DC 20032-4933 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1477175594 | Confident American English, LLC | Clinic/Center | 1190 Jefferson St Ste 103a, Washington, MO 63090-4443 | 2020-05-12 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1154895050 | Haus of Lamaj | Clinic/Center | 809 Florida Ave Nw Fl 2, Washington, DC 20001-3017 | 2019-01-14 |
| 1861057416 | Providence Hospital | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-05-08 |
| 1811473127 | Daviess County Hospital | Clinic/Center | 1401 Memorial Ave Ste C, Washington, IN 47501-3154 | 2018-07-19 |
| 1053724963 | Howard University | Clinic/Center | 2024 Georgia Ave Nw, Washington, DC 20001-3027 | 2014-06-09 |
| 1982952933 | Christian Homes, Inc. | Clinic/Center | 1201 Newcastle Rd, Washington, IL 61571-1243 | 2012-08-23 |
| 1164526877 | Beaufort County Hospital Association Inc | Clinic/Center | 628 E 12th St, Washington, NC 27889-3409 | 2006-09-12 |
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on COMPLETE CARE MEDICAL CTR LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.