{
"Npi": {
"NPI": "1376505149",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BAYCARE HOMECARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8452 118TH AVE NORTH",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LARGO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33773",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-394-6461",
"MailingAddressFaxNumber": "727-394-6550",
"FirstLinePracticeLocationAddress": "8452 118TH AVE NORTH",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LARGO",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33773",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-394-6461",
"PracticeLocationAddressFaxNumber": "727-394-6550",
"EnumerationDate": "04/05/2006",
"LastUpdateDate": "06/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "04/25/2007",
"NPIReactivationDate": "11/26/2007",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "TIMISI",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "727-470-4609",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PH 19009",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}