Bay Area Properties, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

33203 Issued in OR

Legal business name

BAY AREA PROPERTIES, LLC

Doing business as

dba Baycrest Village

Practice address

3959 Sheridan Ave
North Bend, OR 97459-2834

Phone

(541) 756-4141

Fax

(541) 756-1049

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Lee Waldroff, R.N, M.S

Title

Ceo

Phone

(503) 595-2810

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Baycrest Village Doing business as

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598723207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 SHERIDAN AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592834",
            "telephone_number": "541-756-4141",
            "fax_number": "541-756-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 SHERIDAN AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592834",
            "telephone_number": "541-756-4141",
            "fax_number": "541-756-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDROFF",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-595-2810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N, M.S"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "33203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Baycrest Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Patrick Bartell, D.C.
• Jennifer Barton, CADC-R
• Cecilia Marie Bash-Byers
• Bay Area First Step, Inc.
• Bay Area Hospital District
• Bay Cities Medical Supply. Inc.
• Bay Eye Clinic P.C.
• Bay Optical Laboratory Corp.
• Baycrest Estates, LLC
• Beacon Health Care Solutions Incorporated

• Skilled Nursing Facility in North Bend, OR
• Providers in North Bend, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.