Provider Demographics
NPI:1609032663
Name:COMPLETE HOME CARE OF BROWARD, INC DBA HOSPITAL WITHOUT WALLS
Entity Type:Organization
Organization Name:COMPLETE HOME CARE OF BROWARD, INC DBA HOSPITAL WITHOUT WALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BAHER
Authorized Official - Middle Name:F
Authorized Official - Last Name:HABIB
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-436-9595
Mailing Address - Street 1:2310 NW 3RD AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-4963
Mailing Address - Country:US
Mailing Address - Phone:954-642-3417
Mailing Address - Fax:954-642-3817
Practice Address - Street 1:2310 NW 3RD AVE STE 8
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-4963
Practice Address - Country:US
Practice Address - Phone:954-642-3417
Practice Address - Fax:954-642-3818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health