Organization Active NPI

Comprehensive Home Care of North West Florida

  • Home Health Agency
  • Navarre, FL
National Provider Identifier
1023234366
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992842 Issued in FL
Legal business name
COMPREHENSIVE HOME CARE OF NORTH WEST FLORIDA
Practice address
7552 Navarre Pkwy
Suite 4
Navarre, FL 32566-7305
Phone
(850) 748-0065
Fax
(850) 936-0908
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frank Daniel, PT
Title
Owner
Phone
(850) 207-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992842 FL Primary

Addresses

Primary practice location

7552 Navarre Pkwy
Suite 4
Navarre, FL 32566-7305

Mailing address

7552 Navarre Pkwy
Suite 4
Navarre, FL 32566-7305
Phone (850) 748-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000119 FL Part A Provider - Home Health Agency 4183702871 Practice locations: Navarre, FL

Home health agency certification: CCN 109207

Legal name
COMPREHENSIVE HOME CARE OF NORTH WEST FLORIDA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2009
Last certification
Jun 21, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2007 in FL
Enrollment address
7552 Navarre Parkway
Unit 4
Navarre, FL 32566-7312
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comprehensive Home Care of Northwest Florida IncCCN 109207
Ownership
Proprietary
Certified
Mar 28, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory

Locations

1573 Nantahala Beach Rd
Gulf Breeze, FL 32563
Phone (850) 207-0556

2270 Highway 87
Unit A
Navarre, FL 32566
Phone (850) 934-0028

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frank Daniel Individual 5% Or Greater Direct Ownership Interest Oct 23, 2007
Corporate Director Oct 23, 2007
W-2 Managing Employee Oct 3, 2007
Cindy Daniel Individual Corporate Director Oct 23, 2007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1023234366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "address_2": "SUITE 4",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-748-0065",
            "fax_number": "850-936-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "address_2": "SUITE 4",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-748-0065",
            "fax_number": "850-936-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HOME CARE OF NORTH WEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-207-0556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.