Changing Tides Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299991873 Issued in FL

Legal business name

CHANGING TIDES HOME HEALTH, INC.

Doing business as

Comprehensive Home Care of SW FL

Practice address

12381 S Cleveland Ave
Suite 404
Ft Myers, FL 33907-3893

Phone

(239) 461-9009

Fax

(239) 461-9008

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Denise Bragg

Title

Vice President

Phone

(954) 834-2222

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Home Care of SW FL Doing business as

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1356388409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N",
            "address_2": "SUITE 341",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842654",
            "telephone_number": "727-786-5520",
            "fax_number": "727-786-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12381 S CLEVELAND AVE",
            "address_2": "SUITE 404",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339073893",
            "telephone_number": "239-461-9009",
            "fax_number": "239-461-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TIDES HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-834-2222"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Home Care of SW FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Marie Chaney, LCSW
• Alexander Chang, CRNA
• Tatiana Chang
• Yandy Chang, MD
• Changing Lives Group, LLC
• Debra Anne Channer, PHARMD
• Deborah Wince Chapa, APRN
• Dennis Chapman
• Jessica Ann Chapman, OTD, OTR/L
• Julie Anne Marie Chapman, ARNP

• Home Health Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.