Bay Lake Retirement

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BAY LAKE RETIREMENT

Practice address

4225 Shore Dr
Virginia Beach, VA 23455-2870

Phone

(757) 460-8868

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lori Bennett

Title

Administrator

Phone

(757) 460-8868

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1053575613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552870",
            "telephone_number": "757-460-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552870",
            "telephone_number": "757-460-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY LAKE RETIREMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-460-8868",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark L Bawcom, DC
• Derrek Bax
• Keisha Monique Baxter
• Truman D Baxter, D.D.S.
• Bay Area Chiropractic Clinic Inc.
• Bay Pointe Rehabilitation and Nursing LLC
• Bay Psychiatric Group, Inc
• Bay Psychiatric II Inc
• Bay Psychiatric, Inc.
• Bay Wellness and Balance, PLLC

• Assisted Living Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.