CCN: 687243 NPI: 1003584301 Organization

BAY AREA DIRECT CLIENT CARE LLC

110 LITHIA PINECREST RD STE B
BRANDON, FL 335115300

Contact Information

Phone 8136795122
Fax 5645245855
Enumeration Date 2021-09-01
Last Updated 2022-01-13

Taxonomies

Code: 251E00000X
Code: 251J00000X
Code: 320900000X
Code: 385HR2060X
Code: 253Z00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 45300

providerType 36

censusDivision 3

cbsaActualGeographicLocation 45300

providerType 36

censusDivision 3

cbsaActualGeographicLocation 45300

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45300

providerType 36

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 45300

providerType 36

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 45300

providerType 36

specialPaymentIndicator

carrierCode 09102

localityCode 99