Active NPI
Etairos Care at Home Inc
Doing business as Comprehensive Home Care of Palm Beach
- Home Health Agency
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA299991293
- Legal business name
- ETAIROS CARE AT HOME INC
- Doing business as
- Comprehensive Home Care of Palm Beach
- Practice address
- 2000 Palm Beach Lakes Blvd Ste 602
West Palm Beach, FL 33409-6505 - Phone
- (561) 588-0996
- Fax
- (561) 488-0446
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Rager
- Title
- VP Reimbursement
- Phone
- (727) 614-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA299991293 | FL | Primary |
Addresses
Primary practice location
2000 Palm Beach Lakes Blvd Ste 602
West Palm Beach, FL 33409-6505
Mailing address
13787 Belcher Rd S Ste 220
Largo, FL 33771-4065
Other names 1
- Comprehensive Home Care of Palm Beach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210305001731 | FL | Part A Provider - Home Health Agency | 9537572912 | Practice locations: West Palm Beach, FL |
Home health agency certification: CCN 107625
- Legal name
- ETAIROS CARE AT HOME INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 14, 2000
- Last certification
- Sep 30, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 11, 2020 in DE
- Enrollment address
- 2001 Palm Beach Lakes Blvd
Ste 413
West Palm Beach, FL 33409-6516
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Comprehensive Home Care of Pinellas/pasco
- Home Health Agency
- Palm Harbor, FL
- NPI 1821035726
9537572912
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Etairos Care at Home, Inc.
- Ownership
- Proprietary
- Certified
- Dec 14, 2000
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1011637 | Etairos Care at Home, Inc | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Home Care of Palm Beach
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Comprehensive Home Care of Hernando
- Home Health Agency
- Spring Hill, FL
- NPI 1033157573
-
dba Comprehensive Home Care of Broward
- Home Health Agency
- Tamarac, FL
- NPI 1598702466
-
- Home Health Agency
- Vero Beach, FL
- NPI 1700227329
-
dba Comprehensive Home Care of Palm Beach
- Home Health Agency
- Port St Lucie, FL
- NPI 1871782508
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Utopia Home Care
- In Home Supportive Care Agency
- Tampa, FL
- NPI 1639495328
Member Of
Locations
4915 S Congress Ave
Ste A
Palm Springs, FL 33461
Phone (561) 313-0840
2001 Palm Beach Lakes Blvd
Ste 413
West Palm Beach, FL 33409
Phone (727) 723-7532
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Freedman | Corporate Officer | Dec 28, 2020 | |
| Etairos Health Inc | 5% Or Greater Direct Ownership Interest | Mar 31, 2020 | 100% |
| Richard Butler | Corporate Officer | Oct 1, 2020 | |
| Operational/Managerial Control | Oct 1, 2020 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Utopia Home Care
- In Home Supportive Care Agency
- Palm Harbor, FL
- NPI 1386110419
5% Or Greater Direct Ownership Interest
-
dba Utopia Home Care
- In Home Supportive Care Agency
- Tampa, FL
- NPI 1639495328
5% Or Greater Direct Ownership Interest
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2020 | Change of Ownership | Comprehensive Home Care of Palm Beach; Comprehensive Home Care of Mart |
| Oct 1, 2020 | Change of Ownership | Etairos Care at Home Inc |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1043257199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13787 BELCHER RD S STE 220",
"city": "LARGO",
"state": "FL",
"postal_code": "337714065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PALM BEACH LAKES BLVD STE 602",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096505",
"telephone_number": "561-588-0996",
"fax_number": "561-488-0446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETAIROS CARE AT HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "RAGER",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "VP REIMBURSEMENT",
"authorized_official_telephone_number": "727-614-8300"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HHA299991293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Home Care of Palm Beach",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Comprehensive Home Care of Palm Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.