Bayside Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

19AL0008 Issued in MD

Legal business name

BAYSIDE ASSISTED LIVING, INC.

Practice address

7602 Hewitt Ford Rd
Westover, MD 21871-4212

Phone

(410) 621-0431

NPI assigned

Sep 1, 2007

Organization subpart

No

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

Authorized official

Name

Ginny C. Carlyle, REGISTERED NURSE

Title

Nurse Manager/Delegating Nurse

Phone

(410) 621-0431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188604800000",
    "number": "1104010198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 HEWITT FORD RD",
            "address_2": "P.O. BOX 159",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "218714212",
            "telephone_number": "410-621-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 HEWITT FORD RD",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "218714212",
            "telephone_number": "410-621-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2007-09-01",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "GINNY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "NURSE MANAGER/DELEGATING NURSE",
        "authorized_official_telephone_number": "410-621-0431",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "19AL0008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anderton, CAC-AD
• Matey Barker, LCADC, LGSW
• Audrey Barrett, MSOTR/L
• Ruth Elizabeth Campbell, PA-C
• Tamara Lynn Christman, MA, LPC, LCPC
• Stephanie Anne Cyran, CRNP
• Lakkisha Dryden, CSC-AD
• Heather Webster Esham, MA CCC-SLP

• All providers in Westover, MD
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; 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.