Bay Terrace Rehabilitation and Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BAY TERRACE REHABILITATION AND HEALTHCARE CENTER LLC

Practice address

889 S Little Creek Rd
Dover, DE 19901-4721

Phone

(302) 674-0566

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moshe Stern

Title

Authorized Member

Phone

(302) 674-0566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093587065. Details of each certification follow.

• CCN 085019 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 085019

Legal name

BAY TERRACE REHABILITATION AND HEALTHCARE CENTER LLC

Doing business as

BAY TERRACE REHABILITATION AND HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1979

Last certification

Feb 19, 2025

Beds

85

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Oct 17, 2023 in DE

Enrollment address

889 S Little Creek Rd
Dover, DE 19901-4721

Nursing home name

BAY TERRACE REHABILITATION AND HEALTH CENTER

Affiliated entity

PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES

Listed as

Bay Terrace Rehabilitation and Health CenterCCN 085019 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8570.2 residents per day on average

Chain

Prestige Healthcare Administrative Services15 facilities in the chain

Penalties (3 years)

3Fines totaling $34,838

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Abimbola O. Olowo, MD

  • Hospitalist Physician
  • Wilmington, DE
  • NPI 1295990588

  Adp of the SNF

  CMS ownership

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Evergreen Post Acute LLC

  • Skilled Nursing Facility
  • Smyrna, DE
  • NPI 1053128314

  Copper de Trust, Gold de Trust, Silver de Trust, Star de I Holdings LLC, Star de I Trust

  CMS ownership
• Ocean Grove Post Acute LLC

  • Skilled Nursing Facility
  • Millsboro, DE
  • NPI 1851108112

  Copper de Trust, Gold de Trust, Silver de Trust, Star de I Holdings LLC, Star de I Trust

  CMS ownership
• Oak Glen Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Lewisburg, PA
  • NPI 1821833468

  Aysan TR, Buah MD Trust

  CMS ownership
• Park Lane Post Acute LLC

  • Skilled Nursing Facility
  • West Chester, PA
  • NPI 1780426809

  Aysan TR, Buah MD Trust, Copper de Trust, Gold de Trust, PA & de Noble Parentco LLC, Silver de Trust

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sambhab Kumar, MD

  • Internal Medicine Physician
  • Dover, DE
  • NPI 1750359840
  NPD (past)
• Abimbola O. Olowo, MD

  • Hospitalist Physician
  • Wilmington, DE
  • NPI 1295990588
  NPD (past)
• Simon Ikechukwu Iroha

  • Internal Medicine Physician
  • Wexford, PA
  • NPI 1194973503
  NPD (past)
• Alvaro Lenin Toledo Rivera, M.D,

  • Internal Medicine Physician
  • Danville, PA
  • NPI 1811275761
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sambhab Kumar, MD

  • Internal Medicine Physician
  • Dover, DE
  • NPI 1750359840

  Nursing home

  Care Compare affiliation
• Simon Ikechukwu Iroha

  • Internal Medicine Physician
  • Wexford, PA
  • NPI 1194973503

  Nursing home

  Care Compare affiliation
• Alvaro Lenin Toledo Rivera, M.D,

  • Internal Medicine Physician
  • Danville, PA
  • NPI 1811275761

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1093587065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S LITTLE CREEK RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 S LITTLE CREEK RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014721",
            "telephone_number": "302-674-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY TERRACE REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "302-674-0566"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Batka, PH.D.
• Margaret Battiato, PHD
• Beth Ann Bauer, CRNA
• Elsie Baughman
• Bay Anesthesia Associates LLC
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Bayard Pharmacy LLC (Bayard Pharmacy)
• Jessica Clare Bayer
• Bayhealth

• Skilled Nursing Facility in Dover, DE
• Providers in Dover, DE by specialty
• Skilled Nursing Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.