Organization Active NPI

Complete Care Home Health Agency Inc

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1780397133
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLETE CARE HOME HEALTH AGENCY INC
Practice address
9160 Forum Corporate Pkwy Ste 342
Fort Myers, FL 33905-7808
Phone
(786) 372-2634
NPI assigned
Dec 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Claudia Garza
Title
President
Phone
(786) 372-2634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9160 Forum Corporate Pkwy Ste 342
Fort Myers, FL 33905-7808

Mailing address

9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240731000099 FL Part A Provider - Home Health Agency 0547707267 Practice locations: Fort Myers, FL

Home health agency certification: CCN 687333

Legal name
COMPLETE CARE HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 6, 2025
Last certification
Dec 4, 2024
Organization structure
CorporationProprietary
Enrollment address
9160 Forum Corporate Pkwy
Ste 342
Fort Myers, FL 33905-7808

Care Compare: Home health agency

Medicare Care Compare
Listed as
Complete Care Home Health Agency IncCCN 687333
Ownership
-
Certified
Jan 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

9160 Forum Corporate Pkwy
Ste 342
Fort Myers, FL 33905
Phone (786) 372-2634

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Claudia Garza Individual 5% Or Greater Direct Ownership InterestOwner Jun 1, 2022 100%
Corporate DirectorOwner/Director Jun 1, 2022 100%
Operational/Managerial ControlOwner Jun 1, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1780397133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 FORUM CORPORATE PKWY STE 350",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 FORUM CORPORATE PKWY STE 342",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057808",
            "telephone_number": "786-372-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-372-2634"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.