OrganizationActive
Bay Area Healthcare Alliance LLC
NPI 1700667383 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ruskin, FL
Provider details
- NPI number
- 1700667383
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Deshae Martin, Chief Executive Officer(813) 938-0040
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Nursing Care Agency251J00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
2105 Roanoke Springs Dr
Ruskin, FL 33570-6312
Phone: (813) 938-0040
Approximate (ZIP-level) locationGet directions
Mailing address
2105 Roanoke Springs Dr
Ruskin, FL 33570-6312
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.