Organization Active NPI

Comprehensive Home Care of Polk

  • Home Health Agency
  • Winter Haven, FL
National Provider Identifier
1609214287
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991972 Issued in FL
Legal business name
COMPREHENSIVE HOME CARE OF POLK
Practice address
373 E Central Ave
Winter Haven, FL 33880-3047
Phone
(863) 594-1031
Fax
(863) 582-9778
NPI assigned
Jun 5, 2013
Organization subpart
Yes
Parent organization
COMPREHENSIVE HOME CARE OF HILLSBOROUGH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Mr. Garrett W Bragg
Title
President & Ceo
Phone
(954) 834-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991972 FL Primary

Addresses

Primary practice location

373 E Central Ave
Winter Haven, FL 33880-3047

Mailing address

6450 NW 5TH Way
Ft Lauderdale, FL 33309-6112
Phone (954) 834-2222

National Provider Directory

National Provider Directory

Locations

373 E Central Ave
Winter Haven, FL 33880
Phone (863) 294-7848

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1609214287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 NW 5TH WAY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096112",
            "telephone_number": "954-834-2222",
            "fax_number": "954-333-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803047",
            "telephone_number": "863-594-1031",
            "fax_number": "863-582-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HOME CARE OF POLK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE HOME CARE OF HILLSBOROUGH LLC",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "954-834-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.