Bayview Rest Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BAYVIEW REST HOME, LLC

Practice address

143 E Main St
Babylon, NY 11702-3524

Phone

(631) 661-3292

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Grajales

Title

Project Manager

Phone

(347) 988-4535

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

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1487252805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023524",
            "telephone_number": "631-661-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW REST HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "GRAJALES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "347-988-4535"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Barthole, LPN
• Carmen Millicent Bassaragh, ANP-C
• Laurette Bastien, RN
• Amy Karol Baumgartner, LMHC, NCC, CASAC
• Douglas Bautista Sagastizado
• Tatiana Ashley Bazelais, LMHC-D
• Kristen F Beach, NP
• Beacon Group
• Michael John Beck, PHD
• Richard Beck, DMD

• Adult Care Home Facility in Babylon, NY
• Providers in Babylon, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.