# CCS COMPLETE CARE SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCS Complete Care Solutions LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306354550
- **Authorized official:** MRS. KARISSA K. RICKMAN LVN (DIRECTOR/ADMINISTRATOR)
- **Authorized official phone:** (832) 414-4522

## Contact information

- **Practice address:** 7084 W STATE HIGHWAY 21, NACOGDOCHES, TX 75964-4704
- **Practice address phone:** (832) 414-4522
- **Mailing address:** 17432 S FM 225, DOUGLASS, TX 75943-4206
- **Mailing address phone:** (832) 414-4522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164X00000X | Licensed Vocational Nurse | 312673 | TX | — |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | TX | Yes |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | NULL | — |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 01/22/2018
- **Last updated:** 01/22/2018