Organization Active NPI

Bayside Nursing LLC

  • Home Health Agency
  • Warwick, RI
National Provider Identifier
1417072273
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HN02321 Issued in RI
Legal business name
BAYSIDE NURSING LLC
Practice address
177 Airport Road
Warwick, RI 02889
Phone
(401) 921-5995
NPI assigned
Mar 20, 2007
Last updated
Feb 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mrs. Ann Marie St Onge
Title
Ceo
Phone
(401) 921-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HN02321 RI Primary

Addresses

Primary practice location

177 Airport Road
Warwick, RI 02889

Mailing address

177 Airport Road
Warwick, RI 02889
Phone (401) 921-5995

Other identifiers 1

IdentifierTypeStateIssuer
BN02295MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Bayside Nursing LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1417072273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 AIRPORT ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02889",
            "telephone_number": "401-921-5995",
            "fax_number": "401-921-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 AIRPORT ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02889",
            "telephone_number": "401-921-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "ST ONGE",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-921-5995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "RI",
            "license": "HN02321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BN02295",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.