Organization Active NPI

Complete Home Care of Broward County LLC

  • Home Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1699060376
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE HOME CARE OF BROWARD COUNTY LLC
Practice address
2700 W Cypress Creek Rd Ste D108
Fort Lauderdale, FL 33309-1752
Phone
(954) 824-9940
Fax
(561) 750-4503
NPI assigned
Jun 10, 2011
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Mr. Chris Walker
Title
Cfo
Phone
(469) 241-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd Ste D108
Fort Lauderdale, FL 33309-1752

Mailing address

824 S Military TRL
Deerfield Beach, FL 33442-2985
Phone (954) 933-8242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120608000268 FL Part A Provider - Home Health Agency 5991969685 Practice locations: Fort Lauderdale, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699060376. Details of each certification follow.

Home health agency certification: CCN 683107

Legal name
COMPLETE HOME CARE OF BROWARD COUNTY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 12, 2013
Last certification
Jul 12, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
in FL
Enrollment address
2700 W Cypress Creek Rd
Ste D108
Fort Lauderdale, FL 33309-1752

Care Compare: Home health agency

Medicare Care Compare
Listed as
Complete Home Care of Broward County LLCCCN 683107 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 12, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

824 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 933-8242

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Lifecare Florida Holdings LLC Organization, Plano, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 30, 2016 100%
Lifecare Intermediate II LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
Sheila Anne Walton Individual Corporate Officer Jul 22, 2025
W-2 Managing Employee Jul 22, 2025
Operational/Managerial Control Jul 22, 2025
James M Douthitt Individual Corporate OfficerCfo Jul 22, 2025
W-2 Managing EmployeeCfo Jul 22, 2025
Operational/Managerial ControlCfo Jul 22, 2025
Lifecare Intermediate I LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
Lifecare Home Health Holdings LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
Lifecare Home Health Acquisition LLC Organization, Irving, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2019 100%
Lifecare Home Health Intermediate Sub LLC Organization, Irving, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2019 100%

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1699060376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334422985",
            "telephone_number": "954-933-8242",
            "fax_number": "954-427-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE D108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091752",
            "telephone_number": "954-824-9940",
            "fax_number": "561-750-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME CARE OF BROWARD COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-241-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.