Active NPI
Bayside Senior Care, L.L.C.
- Skilled Nursing Facility
- Gretna, LA
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Member of1
- Practitioners3
- Affiliated clinicians3
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- Skilled nursing facility certification: CCN 195309
- All disclosed owners & managing parties13
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in Gretna, LA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BAYSIDE SENIOR CARE, L.L.C.
- Practice address
- 3201 Wall Blvd
Gretna, LA 70056-7875 - Phone
- (504) 393-1515
- Fax
- (504) 391-7426
- NPI assigned
- Nov 8, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kaley Hill
- Title
- President
- Phone
- (504) 393-1515
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1194739326
Adp of the SNF, Operational/Managerial Control
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1194739326
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1124243837
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1003181306
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1124243837
Nursing home
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bayside Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1995
- Medicare certification status
- Active
- Certified beds
- 151
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0889154 | Bayside Senior Care, LLC | Certificate of waiver | Jul 19, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200218001023 | LA | Part a Provider - Skilled Nursing Facility | 5092142869 | Practice locations: Gretna, LA |
Skilled nursing facility certification: CCN 195309
Medicare enrollment files- Legal name
- BAYSIDE SENIOR CARE, L.L.C.
- Doing business as
- BAYSIDE HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1995
- Last certification
- Oct 16, 2024
- Beds
- 151
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Hometown Healthcare LLC; Integrity Management LLC
- Organization structure
- LLC
- Incorporated
- Oct 2, 2019 in LA
- Enrollment address
- 3201 Wall Blvd
Gretna, LA 70056-7875 - Nursing home name
- BAYSIDE HEALTHCARE CENTER
All disclosed owners & managing parties 13
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Adp of the SNF | Dec 16, 2025 | ||
| Eric Wahlen | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 25% |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Adp of the SNF | Oct 30, 2019 | ||
| Adp of the SNF | Oct 30, 2019 | ||
| Adp of the SNF | Oct 30, 2019 | ||
| Champion Management LLC | Indirect Ownership Interest | Jan 1, 2020 | 37.5% |
| Capital Hill Holdings | Indirect Ownership Interest | Jan 1, 2020 | 37.5% |
| Kaley Hill | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 37.5% |
| Corporate Officer | Jan 1, 2020 | ||
| Operational/Managerial Control | Jan 1, 2020 | ||
| Adp of the SNF | Oct 30, 2019 | ||
| Adp of the SNF | Oct 30, 2019 | ||
| Hometown Healthcare Management | Direct Ownership Interest | Jan 1, 2020 | 75% |
| Cory L Cashman | Operational/Managerial Control | Nov 1, 2019 | |
| Adp of the SNF | Nov 1, 2019 | ||
| Adp of the SNF | Oct 30, 2019 | ||
| Integrity Management, LLC | Direct Ownership Interest | Jan 1, 2020 | 25% |
| John P Stagg | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 37.5% |
| Adp of the SNF | Oct 30, 2019 |
National Provider Directory
National Provider DirectoryLocations
3201 Wall Blvd
Gretna, LA 70056
Phone (504) 207-4905
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3201 Wall Blvd
Gretna, LA 70056-7875
Mailing address
3201 Wall Blvd
Gretna, LA 70056-7875
Phone (504) 393-1515
Other names 1
NPPES NPI Registry- BAYSIDE HEALTHCARE CENTER
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2019.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1598300089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 WALL BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567875",
"telephone_number": "504-393-1515",
"fax_number": "504-391-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 WALL BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567875",
"telephone_number": "504-393-1515",
"fax_number": "504-391-7426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSIDE SENIOR CARE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "KALEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-393-1515"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAYSIDE HEALTHCARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.