Bay Ridge Assisted Living Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH280027829 Issued in MI

Legal business name

BAY RIDGE ASSISTED LIVING CENTER

Practice address

3825 Scenic RDG
Traverse City, MI 49684-3900

Phone

(231) 932-9757

Fax

(231) 932-8376

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Scott A Reenders

Title

Authorized Agent

Phone

(616) 842-2425

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1487080321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SCENIC RDG",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843900",
            "telephone_number": "231-932-9757",
            "fax_number": "231-932-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 SCENIC RDG",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843900",
            "telephone_number": "231-932-9757",
            "fax_number": "231-932-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "REENDERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "616-842-2425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH280027829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.