Organization Active NPI

Bay View Homecare Inc

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
National Provider Identifier
1346201506
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R940 Issued in MD
Legal business name
BAY VIEW HOMECARE INC
Practice address
4404 Fitch Ave
Baltimore, MD 21236-3907
Phone
(410) 665-0107
Fax
(410) 665-0875
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
John Lynn Roth
Title
Owner
Phone
(443) 463-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R940 MD Primary

Addresses

Primary practice location

4404 Fitch Ave
Baltimore, MD 21236-3907

Mailing address

4404 Fitch Ave
Baltimore, MD 21236-3907
Phone (410) 665-0107

Other identifiers 2

IdentifierTypeStateIssuer
235738100MedicaidMD
1122643OtherMDFDA LABELER 057999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930000076 MD DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & Equipment 2163549692 Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bay View Homecare Inc4404 Fitch Ave, Baltimore, MD 21236-3907(410) 665-0107 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Access… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

4404 Fitch Ave
Nottingham, MD 21236
Phone (410) 665-0107

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1346201506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 FITCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363907",
            "telephone_number": "410-665-0107",
            "fax_number": "410-665-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 FITCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363907",
            "telephone_number": "410-665-0107",
            "fax_number": "410-665-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VIEW HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-463-8900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235738100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA LABELER 057999",
            "identifier": "1122643",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.