MEDICARE: JONEQUA BAKER HOMEMAKER AND COMPANION SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1427770544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONEQUA BAKER HOMEMAKER AND COMPANION SERVICES

Provider Business Mailing Address
First Line	:	6312 ROYAL HUNT DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-2533
Country	:	US
Telephone Number	:	888-230-7067
Fax Number	:

Provider Business Practice Location Address
First Line	:	6312 ROYAL HUNT DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-2533
Country	:	US
Telephone Number	:	888-230-7067
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JONEQUA BAKER
Credential	:
Telephone Number	:	813-308-6032

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	09/21/2022

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