Healthcare Provider Details

I. General information

NPI: 1225090087
Provider Name (Legal Business Name): BAYCARE HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8452 118TH AVE
LARGO FL
33773-5007
US

IV. Provider business mailing address

8452 118TH AVE
LARGO FL
33773-5007
US

V. Phone/Fax

Practice location:
  • Phone: 727-394-6585
  • Fax: 727-394-6540
Mailing address:
  • Phone: 727-394-6585
  • Fax: 727-394-6540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPH19055
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIMISI C JOHNSON
Title or Position: DIRECTOR
Credential: RN
Phone: 727-470-4609