Organization Active NPI

H-Bay Ministries, Inc.

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1346730850
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9739 Issued in FL
Legal business name
H-BAY MINISTRIES, INC.
Practice address
1819 Providence Ridge Blvd
Brandon, FL 33511-1899
Phone
(813) 657-8587
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Seth Walker, CPA
Title
Cfo
Phone
(850) 583-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9739 FL Primary

Addresses

Primary practice location

1819 Providence Ridge Blvd
Brandon, FL 33511-1899

Mailing address

2528 Barrington Cir # 2
Tallahassee, FL 32308-3888
Phone (850) 583-7990

Other identifiers 2

IdentifierTypeStateIssuer
024979900MedicaidFL
9739OtherFLFLORIDA AHCA LICENSE NUMBER

Other names 1

  • Superior Residences of Brandon Memory Care Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1014321H-Bay Ministries Inc1819 Providence Ridge Rd, Brandon, FL 33511Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
H-Bay Ministries Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1346730850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 BARRINGTON CIR # 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083888",
            "telephone_number": "850-583-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PROVIDENCE RIDGE BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111899",
            "telephone_number": "813-657-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-BAY MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-583-7990",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024979900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA AHCA LICENSE NUMBER",
            "identifier": "9739",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Residences of Brandon Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.