1609214287 NPI number — COMPREHENSIVE HOME CARE OF POLK

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609214287 NPI number — COMPREHENSIVE HOME CARE OF POLK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPREHENSIVE HOME CARE OF POLK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609214287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6450 NW 5TH WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33309-6112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-834-2222
Provider Business Mailing Address Fax Number:
954-333-9647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
373 E CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINTER HAVEN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33880-3047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-594-1031
Provider Business Practice Location Address Fax Number:
863-582-9778
Provider Enumeration Date:
06/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
BRAGG
Authorized Official First Name:
GARRETT
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
954-834-2222

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  299991972 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com