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General NPI Number Information
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NPI Number | 1033117007
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Entity Type | Organization
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Legal Business Name | BAYCARE HOME CARE, INC.
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 8452 118TH AVENUE NORTH
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City | LARGO
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State | FL
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Zip | 33773-5007
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Country | US
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Telephone | 727-394-6712
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Fax | 727-394-6751
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Provider Business Mailing Address
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Address Line | 8452 118TH AVENUE NORTH
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City | LARGO
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State | FL
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Zip | 33773-5007
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Country | US
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Telephone | 800-940-5151
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Fax | 800-676-3127
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Authorized Official
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Title or Position | VICE PRESIDENT HOME CARE
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Name | MRS. TIMISI C. JOHNSON
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Credential |
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Telephone | 727-470-4609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 21102096
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License Number State | FL
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