Active NPI
Etairos Care at Home Inc
Doing business as Comprehensive Home Care of Pinellas/pasco
- Home Health Agency
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA299991421
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba Comprehensive Home Care of Palm Beach
- Home Health Agency
- West Palm Beach, FL
- NPI 1043257199
9537572912
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Freedman | 5% Or Greater Direct Ownership Interest | Oct 1, 2020 | 18% |
| Corporate Officer | Oct 1, 2020 | 100% | |
| W-2 Managing Employee | Oct 1, 2020 | ||
| Petra Growth Fund III LP | 5% Or Greater Direct Ownership Interest | Mar 11, 2020 | 35% |
| Healthquest Capital Partners LP | 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.
-
dba Utopia Home Care
- In Home Supportive Care Agency
- Palm Harbor, FL
- NPI 1386110419
Petra Growth Fund III LP
-
dba Utopia Home Care
- In Home Supportive Care Agency
- Tampa, FL
- NPI 1639495328
Petra Growth Fund III LP
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2020 | Change of Ownership | Comprehensive Home Care of Pinellas/Pasco |
| Oct 1, 2020 | Change of Ownership | Comprehensive Home Care |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.