Organization Active NPI

Bayshore Home Health LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1598419202
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BAYSHORE HOME HEALTH LLC
Practice address
3328 Chapel Ridge Way
Fort Worth, TX 76116-1229
Phone
(817) 919-3199
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Doris Bosire
Title
Manager
Phone
(817) 919-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3328 Chapel Ridge Way
Fort Worth, TX 76116-1229

Mailing address

3328 Chapel Ridge Way
Fort Worth, TX 76116-1229
Phone (817) 919-3199

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
45D2286470Bayshore Home Health LLC3328 Chapel Ridge Way, Fort Worth, TX 76116Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1598419202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 CHAPEL RIDGE WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161229",
            "telephone_number": "817-919-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 CHAPEL RIDGE WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161229",
            "telephone_number": "817-919-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-02-22",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "BOSIRE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-919-3199"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.