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Organization

BAYCARE HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TIMISI C JOHNSON RN (DIRECTOR)
(727) 470-4609
Entity
Organization

Contact information

Practice address
4616 E STATE ROAD 64, BRADENTON, FL 34208-9012
(941) 727-9880
(941) 727-0136
Mailing address
8452 118TH AVE, LARGO, FL 33773-5007
(727) 394-6461
(727) 394-6540

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299991698
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
650973801
FL
Enumeration date
08/25/2005
Last updated
06/17/2025
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