Provider Demographics
NPI:1275868192
Name:BAYCARE HOME CARE, INC.
Entity Type:Organization
Organization Name:BAYCARE HOME CARE, INC.
Other - Org Name:A PLACE FOR HER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-395-2047
Mailing Address - Street 1:8452 118TH AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-5007
Mailing Address - Country:US
Mailing Address - Phone:727-394-6461
Mailing Address - Fax:727-394-6540
Practice Address - Street 1:1708 W. PALMETTO AVENUE,
Practice Address - Street 2:ROOM 101 104
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-7238
Practice Address - Country:US
Practice Address - Phone:813-756-5055
Practice Address - Fax:813-756-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4641400006Medicare NSC