# CHANGING TIDES HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comprehensive Home Care of SW FL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134240971
- **Authorized official:** DEBORAH MEDLEY (CONTROLLER)
- **Authorized official phone:** (727) 786-5520

## Contact information

- **Practice address:** 3067 TAMIAMI TRL, UNIT 4, PORT CHARLOTTE, FL 33952-6601
- **Practice address phone:** (239) 461-9009
- **Practice address fax:** (239) 461-9008
- **Mailing address:** 33920 US HIGHWAY 19 N, SUITE 341, PALM HARBOR, FL 34684-2654
- **Mailing address phone:** (727) 786-5520
- **Mailing address fax:** (727) 787-6893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA299992570 | FL | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 07/21/2008