Organization Active NPI

Bayside Senior Care, L.L.C.

Doing business as Bayside Healthcare Center

  • Skilled Nursing Facility
  • Gretna, LA
National Provider Identifier
1598300089
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAYSIDE SENIOR CARE, L.L.C.
Doing business as
Bayside Healthcare Center
Practice address
3201 Wall Blvd
Gretna, LA 70056-7875
Phone
(504) 393-1515
Fax
(504) 391-7426
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Kaley Hill
Title
President
Phone
(504) 393-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary 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

  • BAYSIDE HEALTHCARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218001023 LA Part A Provider - Skilled Nursing Facility 5092142869 Practice locations: Gretna, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598300089. Details of each certification follow.

Skilled nursing facility certification: CCN 195309

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
LLCProprietary
Incorporated
Oct 2, 2019 in LA
Enrollment address
3201 Wall Blvd
Gretna, LA 70056-7875
Nursing home name
BAYSIDE HEALTHCARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bayside Healthcare CenterCCN 195309 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15194.0 residents per day on average

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
19D0889154Bayside Senior Care, LLC3201 Wall Blvd, Gretna, LA 70056Certificate of waiverJul 19, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Organization, Baton Rouge, LA LLC, Consulting firm, For-profit Adp of the SNF Dec 16, 2025
Eric Wahlen Individual 5% Or Greater Indirect Ownership InterestCo-Manager Jan 1, 2020 25%
Operational/Managerial Control Jan 1, 2020
Adp of the SNF Oct 30, 2019
Organization, Zachary, LA LLC, For-profit Adp of the SNF Oct 30, 2019
Organization, Clinton, LA LLC, For-profit Adp of the SNF Oct 30, 2019
Champion Management LLC Organization, Zachary, LA LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2020 37.5%
Capital Hill Holdings Organization, Clinton, LA LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2020 37.5%
Kaley Hill Individual 5% Or Greater Indirect Ownership InterestCo-Manager Jan 1, 2020 37.5%
Corporate OfficerPresident Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Adp of the SNF Oct 30, 2019
Organization, Mandeville, LA LLC, For-profit Adp of the SNF Oct 30, 2019
Hometown Healthcare Management Organization, Zachary, LA LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jan 1, 2020 75%
Cory L Cashman Individual Operational/Managerial Control Nov 1, 2019
Adp of the SNF Nov 1, 2019
Organization, Zachary, LA LLC, For-profit Adp of the SNF Oct 30, 2019
Integrity Management, LLC Organization, Mandeville, LA LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jan 1, 2020 25%
John P Stagg Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jan 1, 2020 37.5%
Adp of the SNF Oct 30, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.