Provider Demographics
NPI:1396377339
Name:TOGETHER HOMECARE OF JEFFERSONVILLE LLC
Entity Type:Organization
Organization Name:TOGETHER HOMECARE OF JEFFERSONVILLE LLC
Other - Org Name:TOGETHER HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-800-9565
Mailing Address - Street 1:3300 HENDERSON BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2978
Mailing Address - Country:US
Mailing Address - Phone:813-793-6224
Mailing Address - Fax:
Practice Address - Street 1:350 MISSOURI AVE STE 104
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3001
Practice Address - Country:US
Practice Address - Phone:813-793-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health