Healthcare Provider Details

I. General information

NPI: 1013915149
Provider Name (Legal Business Name): BAYCARE HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6075 RAND BLVD SUITE 3
SARASOTA FL
34238-5126
US

IV. Provider business mailing address

8452 118TH AVENUE NORTH
LARGO FL
33773-5007
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-7730
  • Fax: 941-917-1014
Mailing address:
  • Phone: 800-940-5151
  • Fax: 800-676-3127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299991588
License Number StateFL

VIII. Authorized Official

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