Bay Area Direct Client Care Llc

LBN: Bay Area Direct Client Care Llc
Bay Area Direct Client Care Llc is an health care organization with primary practice located at 110 Lithia Pinecrest Rd Ste B , Brandon FL 33511-5300. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / In Home Supportive Care is the primary health care specialty. Bay Area Direct Client Care Llc can be contacted via phone (813) 679-5122, or through Martin, Deshae via phone (813) 679-5122.

Contact Information

Primary practice address
110 Lithia Pinecrest Rd Ste B Brandon FL 33511-5300
Phone: (813) 679-5122
Fax: (564) 524-5855
Website:
Map and Directions
Authorized official contact:
Name: Martin, Deshae Advanced Practice Registered Nurse (APRN)
Phone: (813) 679-5122

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1003584301
LBN Legal business name Bay Area Direct Client Care Llc
DBA Doing business as
Authorized official Martin, Deshae Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2021
Last updated Jan 13th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003584301 NPPES
Florida MEDICAID 112087100

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