Provider Demographics
NPI:1568567451
Name:BAY AREA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BAY AREA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MADHOSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-654-6695
Mailing Address - Street 1:111 E ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5232
Mailing Address - Country:US
Mailing Address - Phone:813-654-6695
Mailing Address - Fax:813-654-6694
Practice Address - Street 1:111 E ROBERTSON ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5232
Practice Address - Country:US
Practice Address - Phone:813-654-6695
Practice Address - Fax:813-654-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0177410001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0177410001Medicare ID - Type Unspecified