Provider Demographics
NPI:1427770544
Name:JONEQUA BAKER HOMEMAKER AND COMPANION SERVICES
Entity type:Organization
Organization Name:JONEQUA BAKER HOMEMAKER AND COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONEQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-308-6032
Mailing Address - Street 1:6312 ROYAL HUNT DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-2533
Mailing Address - Country:US
Mailing Address - Phone:888-230-7067
Mailing Address - Fax:
Practice Address - Street 1:6312 ROYAL HUNT DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-2533
Practice Address - Country:US
Practice Address - Phone:888-230-7067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health