MEDICARE: BAYCARE HOMECARE INC

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	3336H0001X	Home Infusion Therapy Pharmacy	PH19055	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1070541	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1467489609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYCARE HOMECARE INC

Provider Business Mailing Address
First Line	:	8452 118TH AVE
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-5007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8452 118TH AVE
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-5007
Country	:	US
Telephone Number	:	727-394-6585
Fax Number	:	727-394-6542

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. TIMISI C JOHNSON
Credential	:	RN
Telephone Number	:	727-470-4609

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	06/17/2025

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Directions to “BAYCARE HOMECARE INC ” Practice Location

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