Bayside Homecare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BAYSIDE HOMECARE INC

Practice address

3300 County Road 10 Ste 101
Brooklyn Center, MN 55429-3064

Phone

(919) 349-4029

Fax

(612) 314-8970

NPI assigned

Oct 8, 2018

Last updated

Apr 5, 2023By 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

Mohamed A Abdi

Title

President

Phone

(919) 349-4029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1548735426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 101",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293064",
            "telephone_number": "919-349-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 101",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293064",
            "telephone_number": "919-349-4029",
            "fax_number": "612-314-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-04-05",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-349-4029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Barlow
• Burnices Barlue
• Jarnae A Barney
• Stacy Louiseb Bates, PHARMD
• Rebecca Baxton
• Bernard Beamon, LPCC
• Legacine O Bediako
• Bee Transportation LLC
• Elizabeth Beebe
• Behavior Health, LLC

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.