Provider Demographics
NPI:1659652493
Name:COMPLETE HOME CARE REGISTRY INC
Entity Type:Organization
Organization Name:COMPLETE HOME CARE REGISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HABIB
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:561-742-2552
Mailing Address - Street 1:1210 S FEDERAL HWY
Mailing Address - Street 2:202
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6044
Mailing Address - Country:US
Mailing Address - Phone:561-733-8817
Mailing Address - Fax:561-752-9270
Practice Address - Street 1:1210 S FEDERAL HWY
Practice Address - Street 2:202
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6044
Practice Address - Country:US
Practice Address - Phone:561-733-8817
Practice Address - Fax:561-752-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health