Bayonet Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BAYONET OPCO, LLC

Doing business as

Nursing & Rehabilitation Center of Bayonet Point

Practice address

8132 Hudson Ave
Hudson, FL 34667-8571

Phone

(727) 863-3100

Fax

(727) 862-8913

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By 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

Mathew Varghese

Title

Member

Phone

(917) 817-3530

Specialties & licenses 1

Addresses

Other names 1

• Nursing & Rehabilitation Center of Bayonet Point Doing business as

Electronic endpoints 1

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1114679685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678571",
            "telephone_number": "727-863-3100",
            "fax_number": "727-862-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678571",
            "telephone_number": "727-863-3100",
            "fax_number": "727-862-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONET OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-817-3530"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hudson",
            "affiliation": "N",
            "endpointDescription": "Bayonet OpCo LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8132 Hudson Ave",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346678571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nursing & Rehabilitation Center of Bayonet Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virna Liza Javelosa Barte, PT
• Emma Mendoza Basco, PT, DPT
• Dawnlee Basile-Wood, M.A.
• Kevin Bass
• Dianne Yvonne Bayer, C.R.N.A.
• Bayonet Point Cardiac Surgical Associates
• Bayonet Point Facility Operations, LLC (Bayonet Point Living Center)
• Bayonet Point Medical, LLC
• Bayonet Point Rehab LLC (Bayonet Point Health and Rehabilitation Cntr)
• Bayonet Point Surgery Center LTD

• Skilled Nursing Facility in Hudson, FL
• Providers in Hudson, 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 Jan 25, 2022; 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.