Provider Demographics
NPI:1558668533
Name:COMPLETE COMFORT HOME CARE CORPORATION
Entity Type:Organization
Organization Name:COMPLETE COMFORT HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-8999
Mailing Address - Street 1:2326 S CONGRESS AVE STE 2C
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7614
Mailing Address - Country:US
Mailing Address - Phone:561-433-8999
Mailing Address - Fax:561-207-7773
Practice Address - Street 1:2326 S CONGRESS AVE STE 2C
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7614
Practice Address - Country:US
Practice Address - Phone:561-433-8999
Practice Address - Fax:561-207-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health