Organization Active NPI

Bayshore Health & Homemaker Services, Inc

  • Home Health Agency
  • Largo, FL
National Provider Identifier
1073650396
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991613 Issued in FL
Legal business name
BAYSHORE HEALTH & HOMEMAKER SERVICES, INC
Practice address
2430 W Bay Dr
Largo, FL 33770-1933
Phone
(727) 586-0044
Fax
(727) 586-0171
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzanne Johnson
Title
Administrator/Owner
Phone
(727) 586-0044

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA20174095 FL
Home Health Agency 251E00000X HHA299991613 FL Primary
Home Health Agency 251E00000X HHA299991207 FL

Addresses

Primary practice location

2430 W Bay Dr
Largo, FL 33770-1933

Mailing address

PO Box 1462
Largo, FL 33779-1462
Phone (727) 586-0044

Other names 2

  • Bayshore Health Services, Inc. Doing business as
  • Bayshore Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

2430 West Bay Dr
Largo, FL 33770
Phone (727) 586-0044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1073650396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337791462",
            "telephone_number": "727-586-0044",
            "fax_number": "727-586-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701933",
            "telephone_number": "727-586-0044",
            "fax_number": "727-586-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE HEALTH & HOMEMAKER SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "727-586-0044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA20174095",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991613",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.