Provider Demographics
NPI:1427241942
Name:BAY AREA SOLUTIONS FOR INDEPENDENCE
Entity type:Organization
Organization Name:BAY AREA SOLUTIONS FOR INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/VP
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:KEPIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-685-8400
Mailing Address - Street 1:615 BRYAN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6129
Mailing Address - Country:US
Mailing Address - Phone:813-685-8400
Mailing Address - Fax:813-685-8488
Practice Address - Street 1:615 BRYAN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6129
Practice Address - Country:US
Practice Address - Phone:813-685-8400
Practice Address - Fax:813-685-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10976310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility