MEDICARE: COMPLETE HOME CARE OF BROWARD COUNTY LLC

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

General Provider Information

NPI Number	:	1699060376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HOME CARE OF BROWARD COUNTY LLC

Provider Business Mailing Address
First Line	:	824 S MILITARY TRL
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-2985
Country	:	US
Telephone Number	:	954-933-8242
Fax Number	:	954-427-1152

Provider Business Practice Location Address
First Line	:	2700 W CYPRESS CREEK RD STE D108
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1752
Country	:	US
Telephone Number	:	954-824-9940
Fax Number	:	561-750-4503

Authorized Official
Title or Position	:	CFO
Name	:	MR. CHRIS WALKER
Credential	:
Telephone Number	:	469-241-2100

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	01/03/2025

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