Baywood Meadows Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BAYWOOD MEADOWS ASSISTED LIVING

Practice address

105 Baywood Dr
Daytona Beach, FL 32117-4601

Phone

(386) 275-1102

Fax

(386) 275-1102

NPI assigned

Aug 2, 2020

Organization subpart

No

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

Authorized official

Name

Nadine Dixon

Title

Owner

Phone

(386) 341-7579

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Baywood Meadows Assisted Living Former legal business name

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596326400000",
    "number": "1104436443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BAYWOOD DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174601",
            "telephone_number": "386-275-1102",
            "fax_number": "386-275-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BAYWOOD DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174601",
            "telephone_number": "386-275-1102",
            "fax_number": "386-275-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYWOOD MEADOWS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-341-7579"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106770600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywood Meadows Assisted Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.