Organization Active NPI

Mlap Acquisition III LLC

  • Adult Care Home Facility
  • Long Beach, NY
National Provider Identifier
1275257586
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MLAP ACQUISITION III LLC
Practice address
375 E Bay Dr
Long Beach, NY 11561-2350
Phone
(516) 897-1200
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Pasquale Debenedictis
Title
Member
Phone
(516) 422-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

375 E Bay Dr
Long Beach, NY 11561-2350

Mailing address

375 E Bay Dr
Long Beach, NY 11561-2350

Other names 1

  • Bay Vista Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Vista Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1275257586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612350",
            "telephone_number": "516-897-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLAP ACQUISITION III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DEBENEDICTIS",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-422-7818"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Vista Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.