Organization
COMPLETE HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER A. HUBACHER RRT (PRES./CEO.)
(716) 694-2253
Entity
Organization
Contact information
Practice address
60 BROAD ST, TONAWANDA, NY 14150-2230
(716) 694-2255
(716) 694-2554
Mailing address
60 BROAD ST, TONAWANDA, NY 14150-2230
(716) 694-2255
(716) 694-2554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00643292
—
NY
01
—
0430530001
MEDICARE
—
01
—
10120930
FIDELIS CARE OF NY
NY
01
—
11172501
UNIVERA
—
01
—
56016
NORTHWOOD
—
01
—
8251448
IHA
NY
01
—
8251448
INDEPENDENT HEALTH
—
Enumeration date
06/27/2005
Last updated
08/22/2020
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