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 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Agencies / Home Health, Agencies / Nursing Care, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Day Training/Habilitation Specialist, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 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) 585-7708.

Contact Information

Primary practice address
110 Lithia Pinecrest Rd Ste B Brandon FL 33511-5300
Phone: (813) 679-5122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Deshae NURSE PRACTITIONER
Phone: (813) 585-7708

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207RI0001X
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X Florida
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1356835862
LBN Legal business name Bay Area Direct Client Care Llc
DBA Doing business as
Authorized official Martin, Deshae NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2018
Last updated Jun 11th, 2021 - about 5 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 1356835862 NPPES
Florida Other NONE NONE ASSOCIATED
Florida MEDICAID 025147900 NONE ASSOCIATED

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