Organization Active NPI

Etairos Care at Home Inc

Doing business as Comprehensive Home Care of Pinellas/pasco

  • Home Health Agency
  • Palm Harbor, FL
National Provider Identifier
1821035726
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991421 Issued in FL
Legal business name
ETAIROS CARE AT HOME INC
Doing business as
Comprehensive Home Care of Pinellas/pasco
Practice address
33920 US Highway 19 N Ste 331
Palm Harbor, FL 34684-2674
Phone
(727) 786-5520
Fax
(727) 786-5520
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Brett Rager
Title
VP Reimbursement
Phone
(727) 614-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299991421 FL Primary

Addresses

Primary practice location

33920 US Highway 19 N Ste 331
Palm Harbor, FL 34684-2674

Mailing address

13787 Belcher Rd S Ste 220
Largo, FL 33771-4065
Phone (727) 614-8300

Other names 1

  • Comprehensive Home Care of Pinellas/pasco Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201231001197 FL Part A Provider - Home Health Agency 9537572912 Practice locations: Palm Harbor, FL

Home health agency certification: CCN 107623

Legal name
ETAIROS CARE AT HOME INC
Doing business as
COMPREHENSIVE HOME CARE
Certification status
Terminated Voluntary: merger or closure, Mar 1, 2022
Provider type (POS)
Home health agency
Participating since
Dec 14, 2000
Last certification
Jun 17, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 11, 2020 in FL
Enrollment address
33920 US Highway 19 N
Ste 331
Palm Harbor, FL 34684-2674

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jeffrey Freedman Individual 5% Or Greater Direct Ownership Interest Oct 1, 2020 18%
Corporate OfficerCeo Oct 1, 2020 100%
W-2 Managing Employee Oct 1, 2020
Petra Growth Fund III LP Organization, Nashville, TN Corporation 5% Or Greater Direct Ownership Interest Mar 11, 2020 35%
Healthquest Capital Partners LP Organization, Belmont, CA Corporation 5% Or Greater Direct Ownership Interest Mar 11, 2020 35%

Facilities with the same owner 2

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

Change-of-ownership history 2

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the buyer Comprehensive Home Care of Pinellas/PascoCCN 107623, FL, NPI 1821035726
Oct 1, 2020 Change of OwnershipThis provider was the seller Comprehensive Home CareCCN 107623, FL, NPI 1821035726

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1821035726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13787 BELCHER RD S STE 220",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "telephone_number": "727-614-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N STE 331",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842674",
            "telephone_number": "727-786-5520",
            "fax_number": "727-786-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETAIROS CARE AT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "RAGER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "727-614-8300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Home Care of Pinellas/pasco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Home Care of Pinellas/pasco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.