Healthcare Provider Details

I. General information

NPI: 1942002449
Provider Name (Legal Business Name): BAYIT BRI'UT CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3733 UNIVERSITY BLVD W STE 202
JACKSONVILLE FL
32217-2152
US

IV. Provider business mailing address

843 MAGIC COVE LN
JACKSONVILLE FL
32218-7717
US

V. Phone/Fax

Practice location:
  • Phone: 904-452-8129
  • Fax: 888-402-9512
Mailing address:
  • Phone: 903-452-8129
  • Fax: 888-502-9512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KELVIN SAMUEL II
Title or Position: CEO
Credential:
Phone: 903-832-1623