NPIMap

Organization Active NPI

Complete Home Health Care, Inc.

Doing business as Hospital Without Walls

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1609967561
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
FLHH19964399 Issued in FL
Legal business name
COMPLETE HOME HEALTH CARE, INC.
Doing business as
Hospital Without Walls
Practice address
1200 S Federal Hwy
Suite 205
Boynton Beach, FL 33435-6048
Phone
(561) 742-2552
Fax
(561) 742-2556
NPI assigned
Sep 27, 2006
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Baher Habib
Title
Ceo
Phone
(561) 742-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FLHH19964399 FL Primary

Addresses

Primary practice location

1200 S Federal Hwy
Suite 205
Boynton Beach, FL 33435-6048

Mailing address

1200 S Federal Hwy
Suite 205
Boynton Beach, FL 33435-6048
Phone (561) 742-2552

Other identifiers 2

IdentifierTypeStateIssuer
FLHH19964399OtherFLSTATE LICENSE
651036100MedicaidFL

Other names 1

  • Hospital Without Walls Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061005000014 FL Part A Provider - Home Health Agency 9537165188 Practice locations: Boynton Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609967561. Details of each certification follow.

Home health agency certification: CCN 108069

Legal name
COMPLETE HOME HEALTH CARE, INC.
Doing business as
HOSPITAL WITHOUT WALLS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 15, 2004
Last certification
Nov 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 8, 2002 in FL
Enrollment address
1200 S Federal Hwy
Ste 205
Boynton Beach, FL 33435-6043
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hospital Without WallsCCN 108069 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 15, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1021277Hospital Without Walls1200 S Federal Hwy Ste 205, Boynton Beach, FL 33435Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Locations

1200 S Federal Hwy
Ste 205
Boynton Beach, FL 33435
Phone (561) 742-2552

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
Baher Fouad Habib Individual 5% Or Greater Direct Ownership InterestCeo May 15, 2006 63%
Emad Rofail Ishak Individual 5% Or Greater Direct Ownership Interest May 15, 2006 37%
W-2 Managing Employee May 15, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1609967561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY",
            "address_2": "SUITE 205",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356048",
            "telephone_number": "561-742-2552",
            "fax_number": "561-742-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY",
            "address_2": "SUITE 205",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356048",
            "telephone_number": "561-742-2552",
            "fax_number": "561-742-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "BAHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-742-2552"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "FLHH19964399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "FLHH19964399",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651036100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Without Walls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.