MEDICARE: BAY HILL HOME HEALTH 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	374U00000X	Home Health Aide
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1841948700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY HILL HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	5615 ESTABROOK WOODS DR APT 208
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5615 ESTABROOK WOODS DR APT 208
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6116
Country	:	US
Telephone Number	:	407-883-8368
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALISA HILL
Credential	:
Telephone Number	:	407-883-8368

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	03/10/2022

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