Active NPI
Bayside Nursing LLC
- Home Health Agency
- Warwick, RI
National Provider Identifier
1417072273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HN02321
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BN02295 | Medicaid | RI |
National Provider Directory
National Provider Directory- Tax ID family
- Bayside Nursing LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Warwick, RI
- NPI 1558486639
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.