NPIMap

Organization Active NPI

Bayside Home Care, LLC

  • In Home Supportive Care Agency
  • Midland, MI
National Provider Identifier
1497153001
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BAYSIDE HOME CARE, LLC
Practice address
5103 Eastman Ave
#100
Midland, MI 48640-6785
Phone
(989) 941-0555
Fax
(989) 941-0463
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Mr. Gary Vogel
Title
Owner
Phone
(989) 941-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5103 Eastman Ave
#100
Midland, MI 48640-6785

Mailing address

5103 Eastman Ave
#100
Midland, MI 48640-6785
Phone (989) 941-0555

National Provider Directory

National Provider Directory
Tax ID family
Bayside Home Care 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.

Locations

5103 Eastman Ave
Ste 100
Midland, MI 48640
Phone (989) 832-6999

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1497153001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE",
            "address_2": "#100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406785",
            "telephone_number": "989-941-0555",
            "fax_number": "989-941-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE",
            "address_2": "#100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406785",
            "telephone_number": "989-941-0555",
            "fax_number": "989-941-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-941-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.