Bayside Facility Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BAYSIDE FACILITY INC

Practice address

811 Jackson St N
St Petersburg, FL 33705-1238

Phone

(727) 209-1717

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bleich

Title

Authorized Representative

Phone

(845) 641-8314

Specialties & licenses 1

Addresses

Other names 1

• Bayside Care Center Doing business as

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1073998522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD",
            "address_2": "#369",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 JACKSON ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051238",
            "telephone_number": "727-209-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Baylor, DC
• Bayou Shores SNF LLC
• Bayshore Health and Wellness, LLC
• Bayside Behavior Solutions
• Bayside Emergency Physicians PA
• Bayside Health and Wellness
• Bayside Nursing and Rehab LLC
• Bayside Sport & Spine PLLC
• Bayview OB/GYN, P.a.
• Bayway Medical Clinic Inc

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.