Active NPI
Bay 9 Holdings LLC
- Skilled Nursing Facility
- Dallas, TX
National Provider Identifier
1508551235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BAY 9 HOLDINGS LLC
- Practice address
- 8502 Edgemere Rd
Dallas, TX 75225-3523 - Phone
- (214) 265-9100
- NPI assigned
- Apr 10, 2023
- 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
- Kjerstin Hatch
- Title
- President
- Phone
- (415) 376-6286
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8502 Edgemere Rd
Dallas, TX 75225-3523
Mailing address
8502 Edgemere Rd
Dallas, TX 75225-3523
Phone (214) 265-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230626003462 | TX | Part A Provider - Skilled Nursing Facility | 2860850609 | Practice locations: Dallas, TX |
Skilled nursing facility certification: CCN 676002
- Legal name
- BAY 9 HOLDINGS LLC
- Doing business as
- THE PLAZA AT EDGEMERE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Feb 19, 2004
- Last certification
- Oct 3, 2024
- Beds
- 87 (72 certified)
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 8502 Edgemere Rd
Dallas, TX 75225-3523 - Nursing home name
- THE PLAZA AT EDGEMERE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Plaza at Edgemere
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 19, 2004
- Medicare certification status
- Active
- Certified beds
- 72
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Basia Terrell | Corporate Officer | Jun 13, 2023 | |
| Operational/Managerial Control | Jun 13, 2023 | ||
| Certus Edgemere Management LLC | Operational/Managerial Control | Aug 1, 2024 | |
| Kjerstin Hatch | Corporate Officer | Jun 13, 2023 | |
| Operational/Managerial Control | Jun 13, 2023 | ||
| Grenelle Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 13, 2023 | 100% |
| Sandra Odorizzi | Operational/Managerial Control | Oct 13, 2025 | |
| Adp of the SNF | Oct 13, 2025 | ||
| Lapis Municipal Opportunities IV LP | 5% Or Greater Indirect Ownership Interest | Jun 13, 2023 | 100% |
| Frank Chavez | Corporate Officer | Jun 13, 2023 | |
| Operational/Managerial Control | Jun 13, 2023 | ||
| Lapis- GP LLC | General Partnership Interest | Jun 13, 2023 |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681084800000",
"number": "1508551235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8502 EDGEMERE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752253523",
"telephone_number": "214-265-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8502 EDGEMERE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752253523",
"telephone_number": "214-265-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY 9 HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-07",
"status": "A",
"authorized_official_last_name": "HATCH",
"authorized_official_first_name": "KJERSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-376-6286"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.