Bayside Housing, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BAYSIDE HOUSING, LLC

Doing business as

Bayside Housing, LLC

Practice address

611 Lakeside Dr
Salisbury, MD 21801-4114

Phone

(301) 906-0135

NPI assigned

Feb 7, 2025

Organization subpart

No

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

Authorized official

Name

Kevin L Henry

Title

Executive Director

Phone

(301) 906-0135

Specialties & licenses 1

Addresses

Other names 1

• Bayside Housing, LLC Doing business as

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1679388789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 BRANCHVIEW DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444809",
            "telephone_number": "301-686-1544",
            "fax_number": "301-686-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LAKESIDE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014114",
            "telephone_number": "301-906-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-906-0135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Housing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Efigenio Leynes Bautista, M.D.
• Bay Area Center for Independent Living, Inc.
• Bay Harbor Operator LLC
• Bay Shore Servcies, Inc.
• Bayborne Health Center
• BCS Prosthetics and Orthotics LLC
• Kayla Mikkel Beale, LMSW
• Samantha Annette Beamon-Scott
• Teresa Beath, LGPC
• Regina Ann Beatus, M.A., P.T., C.H.T

• Home Health Agency in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.