Provider Demographics
NPI:1821081720
Name:BAYCARE HOME CARE, INC.
Entity Type:Organization
Organization Name:BAYCARE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. HONE CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-940-5151
Mailing Address - Street 1:8452 118TH AVE
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:800-940-5151
Mailing Address - Fax:800-676-3127
Practice Address - Street 1:2100 SE 17TH ST
Practice Address - Street 2:SUITE 502
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4196
Practice Address - Country:US
Practice Address - Phone:352-622-2757
Practice Address - Fax:352-622-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991695251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009182501Medicaid
FL009182501Medicaid