Organization Active NPI

Compass Health Inc

Doing business as Bayside Care Center

  • Skilled Nursing Facility
  • Morro Bay, CA
National Provider Identifier
1174511612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMPASS HEALTH INC
Doing business as
Bayside Care Center
Practice address
1405 Teresa Dr
Morro Bay, CA 93442-2458
Phone
(805) 772-2237
Fax
(805) 772-2536
NPI assigned
Oct 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marie Moya
Title
Controller
Phone
(805) 474-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1405 Teresa Dr
Morro Bay, CA 93442-2458

Mailing address

200 S 13TH St
Suite 205
Grover Beach, CA 93433-3302
Phone (805) 474-7010

Other identifiers 1

IdentifierTypeStateIssuer
LTC90045FMedicaidCA

Other names 1

  • Bayside Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174511612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 13TH ST",
            "address_2": "SUITE 205",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934333302",
            "telephone_number": "805-474-7010",
            "fax_number": "805-473-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TERESA DR",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422458",
            "telephone_number": "805-772-2237",
            "fax_number": "805-772-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "805-474-7010"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90045F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morro Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.