Organization
BAYCARE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMISI C JOHNSON RN (DIRECTOR)
(727) 470-4609
Entity
Organization
Contact information
Practice address
20 LAKE WIRE DR STE 230, LAKELAND, FL 33815-1566
(863) 665-8866
(863) 665-8101
Mailing address
20 LAKE WIRE DR STE 230, LAKELAND, FL 33815-1566
(863) 665-8866
(863) 665-8101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA21070096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650973800
—
FL
Enumeration date
07/12/2005
Last updated
06/20/2025
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