MEDICARE: B.JENEROUS CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1225903776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B.JENEROUS CARE LLC

Provider Business Mailing Address
First Line	:	5005 W LAUREL ST STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3896
Country	:	US
Telephone Number	:	561-501-0998
Fax Number	:

Provider Business Practice Location Address
First Line	:	12308 BREAPHITT CT
Second Line	:
City	:	WESTCHASE
State	:	FL
Zip	:	33626-2695
Country	:	US
Telephone Number	:	561-501-0998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TYRA MCRAE
Credential	:
Telephone Number	:	561-501-0998

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “B.JENEROUS CARE LLC ” Practice Location

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