| Entity Name: | COMPLETE HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Oct 2002 (22 years ago) |
| Document Number: | P02000109053 |
| FEI/EIN Number | 611445626 |
| Address: | 1200 S. FEDERAL HWY., STE. 205, BOYNTON BEACH, FL, 33435 |
| Mail Address: | 1200 S FEDERAL HWY, SUITE 205, BOYNTON BEACH, FL, 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609967561 | 2006-09-27 | 2012-02-20 | 1200 S FEDERAL HWY, SUITE 205, BOYNTON BEACH, FL, 334356048, US | 1200 S FEDERAL HWY, SUITE 205, BOYNTON BEACH, FL, 334356048, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-742-2552 |
| Fax | 5617422556 |
Authorized person
| Name | BAHER HABIB |
| Role | CEO |
| Phone | 5617422552 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | FLHH19964399 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 651036100 |
| State | FL |
| Issuer | STATE LICENSE |
| Number | FLHH19964399 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HABIB BAHER | Agent | 7491 RIDGEFIELD LANE, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| HABIB BAHER F | President | 7491 RIDGEFEILD LANE, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ISHAK EMAD | Treasurer | 10288 HUNT CLUB LANE, PALM BEACH GARDENS, FL, 33418 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04191900202 | HOSPITAL WITHOUT WALLS | ACTIVE | 2004-07-09 | 2029-12-31 | No data | 1200 S. FEDERAL HWY, STE 205, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2003-02-24 | COMPLETE HOME HEALTH CARE, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
