Bay Port Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BAY PORT ASSISTED LIVING INC.

Practice address

243 Hollywood Blvd NW
Fort Walton Beach, FL 32548-4783

Phone

(850) 601-9157

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Seth Walker

Title

Cfo

Phone

(850) 583-7990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BAY PORT OF FORT WALTON BEACH Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1679290753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 HOLLYWOOD BLVD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484783",
            "telephone_number": "850-601-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PORT ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-583-7990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114167800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY PORT OF FORT WALTON BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariah Bates
• Jennifer Battle, PTA
• Heather Pearl Bauman, M.S. CCC-SLP
• Lester R Baumgarten, MS PT ATC CSCS
• Bay Foot and Ankle Center PA
• Bay Prosthetic Center
• Bayer and Curtis Orthodontics
• Bayer Neurobehavioral Center, PLLC
• Corissa Lynn Bayer, PH.D.
• Zachary Clark Bayer, PSYD

• Assisted Living Facility in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.