Provider Demographics
NPI:1477130441
Name:ARAA HOME CARE, LLC
Entity Type:Organization
Organization Name:ARAA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-304-7546
Mailing Address - Street 1:5331 PRIMROSE LAKE CIR STE 219
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3751
Mailing Address - Country:US
Mailing Address - Phone:813-953-1030
Mailing Address - Fax:678-466-8343
Practice Address - Street 1:5331 PRIMROSE LAKE CIR STE 219
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3751
Practice Address - Country:US
Practice Address - Phone:813-953-1030
Practice Address - Fax:678-466-8343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1376179705Medicaid