Active NPI
Bayview Center, LLC
Doing business as Bayview Center
- Skilled Nursing Facility
- Eustis, FL
National Provider Identifier
1215925581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1382096
- Legal business name
- BAYVIEW CENTER, LLC
- Doing business as
- Bayview Center
- Practice address
- 301 S Bay St
Eustis, FL 32726-4005 - Phone
- (352) 357-8105
- Fax
- (352) 589-1182
- NPI assigned
- Oct 11, 2005
- Last updated
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Alise Ziolkowski, MBA
- Title
- VP Finance
- Phone
- (813) 558-6629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1382096 | FL | Primary |
Addresses
Primary practice location
301 S Bay St
Eustis, FL 32726-4005
Mailing address
301 S Bay St
Eustis, FL 32726-4005
Phone (352) 357-8105
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026044400 | Medicaid | FL | |
| 71-00475 | Other | FL | EVERCARE HH CONNECTION |
| C105324 | Other | FL | UNITED AMERICAN |
| 0004442341 | Other | FL | AETNA |
| M96 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Bayview Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030407000016 | FL | Part A Provider - Skilled Nursing Facility | 5890604821 | Practice locations: Eustis, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215925581. Details of each certification follow.
Skilled nursing facility certification: CCN 105324
- Legal name
- BAYVIEW CENTER, LLC
- Doing business as
- BAYVIEW CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 4, 1978
- Last certification
- Dec 12, 2024
- Beds
- 120
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Dec 20, 2002 in FL
- Enrollment address
- 301 S Bay St
Eustis, FL 32726-4005 - Nursing home name
- BAYVIEW CENTER
- Affiliated entity
- ASTON HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bayview Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- May 4, 1978
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Aston Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1011498 | Bayview Center LLC | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tricia Thacker | Corporate Officer | Apr 5, 2022 | |
| Lce Partners LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 100% |
| Loren McCutchen | W-2 Managing Employee | May 1, 2021 | |
| Samuel Klein | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 75% |
| Gabriel Living Center, LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2003 | 100% |
| Samuel Gutman | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bridgeview Center
- Skilled Nursing Facility
- Ormond Beach, FL
- NPI 1821086091
Gabriel Living Center, LLC, Lce Partners LLC
-
dba Coquina Center
- Skilled Nursing Facility
- Ormond Beach, FL
- NPI 1760470785
Gabriel Living Center, LLC
-
dba Riverwood Center
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1871581801
Gabriel Living Center, LLC
-
dba Ruleme Center
- Skilled Nursing Facility
- Eustis, FL
- NPI 1275521213
Gabriel Living Center, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1215925581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264005",
"telephone_number": "352-357-8105",
"fax_number": "352-589-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264005",
"telephone_number": "352-357-8105",
"fax_number": "352-589-1182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYVIEW CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "ZIOLKOWSKI",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ALISE",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "813-558-6629",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1382096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026044400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE HH CONNECTION",
"identifier": "71-00475",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED AMERICAN",
"identifier": "C105324",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004442341",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M96",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bayview Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.