NPIMap

Organization Active NPI

Duluth Nursing and Rehabilitation Center, LLC

Doing business as Bayshore Residence and Rehabilitation Center

  • Skilled Nursing Facility
  • Duluth, MN
National Provider Identifier
1275981532
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DULUTH NURSING AND REHABILITATION CENTER, LLC
Doing business as
Bayshore Residence and Rehabilitation Center
Practice address
1601 Saint Louis Ave
Duluth, MN 55802-2442
Phone
(218) 727-8651
Fax
(218) 727-1761
NPI assigned
May 27, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Mr. Ephram Lahasky
Title
President/Manager
Phone
(646) 772-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1601 Saint Louis Ave
Duluth, MN 55802-2442

Mailing address

1601 Saint Louis Ave
Duluth, MN 55802-2442
Phone (218) 727-8651

Other names 1

  • Bayshore Residence and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayshore Residence and Rehabilitation Center2 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1275981532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAINT LOUIS AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022442",
            "telephone_number": "218-727-8651",
            "fax_number": "218-727-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAINT LOUIS AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022442",
            "telephone_number": "218-727-8651",
            "fax_number": "218-727-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Residence and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.