OrganizationActive
Complete Care Diversified, LLC
NPI 1821425042 · Physical Disabilities Residential Treatment Facility · Perrysburg, OH
Provider details
- NPI number
- 1821425042
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Andrew Miller, Owner / PT(419) 873-3488
- License
- PT012961 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27511 Holiday Lane
Suite 105
Perrysburg, OH 43551-5315
Phone: (419) 873-3488
Fax: (419) 873-4777
Street-level locationGet directions
Mailing address
27511 Holiday Lane
Perrysburg, OH 43551-5315
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.