MEDICARE: COMPLETE HOME CARE REGISTRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659652493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HOME CARE REGISTRY INC

Provider Business Mailing Address
First Line	:	1210 S FEDERAL HWY
Second Line	:	202
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6044
Country	:	US
Telephone Number	:	561-733-8817
Fax Number	:	561-752-9270

Provider Business Practice Location Address
First Line	:	1210 S FEDERAL HWY
Second Line	:	202
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6044
Country	:	US
Telephone Number	:	561-733-8817
Fax Number	:	561-752-9270

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BAHER HABIB
Credential	:	PHYSICAL THERAPIST
Telephone Number	:	561-742-2552

Provider Enumeration Date	:	09/07/2011
Last Update Date	:	09/07/2011

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Directions to “COMPLETE HOME CARE REGISTRY INC ” Practice Location

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