Provider Demographics
NPI:1134137433
Name:B. A. HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:B. A. HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BELLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALMOJERA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:904-778-2344
Mailing Address - Street 1:5601 TIMUQUANA RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-8054
Mailing Address - Country:US
Mailing Address - Phone:904-778-2344
Mailing Address - Fax:904-771-5887
Practice Address - Street 1:5601 TIMUQUANA RD
Practice Address - Street 2:SUITE C
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-8054
Practice Address - Country:US
Practice Address - Phone:904-778-2344
Practice Address - Fax:904-771-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108369Medicare Oscar/Certification
FL10-8369Medicare PIN