Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BAY AREA DIRECT CLIENT CARE LLC
Active
Organization
BAY AREA DIRECT CLIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAE MARTIN NURSE PRACTITIONER (ADMINISTRATIVE DIRECTOR)
(813) 585-7708
Entity
Organization
Contact information
Practice address
110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
(813) 679-5122
Mailing address
2105 ROANOKE SPRINGS DR, RUSKIN, FL 33570-6312
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
NULL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
—
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
06/18/2018
Last updated
06/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers