Provider Demographics
NPI:1134271885
Name:COMPLETE HEALTH CARE SOLUTIONS, INC
Entity type:Organization
Organization Name:COMPLETE HEALTH CARE SOLUTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDROFF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-489-0246
Mailing Address - Street 1:303 S MAIN ST
Mailing Address - Street 2:PO BOX 29
Mailing Address - City:FAYETTE
Mailing Address - State:MO
Mailing Address - Zip Code:65248-1270
Mailing Address - Country:US
Mailing Address - Phone:660-248-3333
Mailing Address - Fax:660-248-9875
Practice Address - Street 1:303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:MO
Practice Address - Zip Code:65248-1270
Practice Address - Country:US
Practice Address - Phone:660-248-3333
Practice Address - Fax:660-248-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO15199286OtherLICENSE NUMBER