NPIMap

Organization Active NPI

Bayside Nursing and Rehab LLC

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1558019059
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAYSIDE NURSING AND REHAB LLC
Practice address
811 Jackson St N
St Petersburg, FL 33705-1238
Phone
(727) 209-3600
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Moshe Scheiner
Title
Authorized Official
Phone
(845) 490-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

811 Jackson St N
St Petersburg, FL 33705-1238

Mailing address

811 Jackson St N
St Petersburg, FL 33705-1238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926002048 FL Part A Provider - Skilled Nursing Facility 1456705318 Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558019059. Details of each certification follow.

Skilled nursing facility certification: CCN 105071

Legal name
BAYSIDE NURSING AND REHAB LLC
Doing business as
BAYSIDE CARE CENTER AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Dec 1, 2023
Beds
92
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 11, 2022 in DE
Enrollment address
811 Jackson St N
St Petersburg, FL 33705-1238
Nursing home name
BAYSIDE CARE CENTER
Affiliated entity
FL SNF TRUST

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bayside Care CenterCCN 105071 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9287.9 residents per day on average
Chain
FL SNF Trust10 facilities in the chain
Penalties (3 years)
1Fines totaling $3,728

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1082330Bayside Nursing and Rehab LLC811 Jackson St N, Saint Petersburg, FL 33705Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Allan Garfinkel Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 10%
Corporate Officer Aug 1, 2023
Bayside Nursing Holdco LLC Organization, St Petersburg, FL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
Ronald Tencza Individual W-2 Managing EmployeeAdministrator Aug 1, 2023
FL Master Opco Holdco II LLC Organization, Miami, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 90%
FL SNF Trust I Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2023 45%
FL SNF Trust II Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2023 45%

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1558019059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 JACKSON ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 JACKSON ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051238",
            "telephone_number": "727-209-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-490-6060"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.