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General NPI Number Information
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NPI Number | 1710007604
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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 | 04/02/2007
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1245 S FORT HARRISON AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-3306
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Country | US
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Telephone | 727-447-1146
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Fax | 727-461-3762
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Provider Business Mailing Address
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Address Line | 8452 118TH AVE
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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 | DIRECTOR
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Name | MRS. TIMISI C JOHNSON
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Credential | RN
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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