Organization
BAYCARE HOMECARE INC
Active
Other names
BAYCARE HOMECARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIMISI C JOHNSON RN (DIRECTOR)
(727) 470-4609
Entity
Organization
Contact information
Practice address
8452 118TH AVE, LARGO, FL 33773-5007
(727) 394-6585
(727) 394-6542
Mailing address
8452 118TH AVE, LARGO, FL 33773-5007
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH19055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070541
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/26/2006
Last updated
06/17/2025
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