NPIMap

Organization Active NPI

Bay Pines Health Care System

  • Nursing Facility/Intermediate Care Facility
  • Bay Pines, FL
National Provider Identifier
1689893638
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
BAY PINES HEALTH CARE SYSTEM
Practice address
10000 Bay Pines Blvd
Bay Pines, FL 33744
Phone
(727) 398-6661
Fax
(727) 398-9465
NPI assigned
Apr 25, 2007
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Jenny Wren Green, M.S / CTRS
Title
Certified Therapeutic Recreation SP
Phone
(727) 398-6661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225800000X
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744

Mailing address

P.O Box 5005
Bay Pines, FL 33744
Phone (727) 398-6661

National Provider Directory

National Provider Directory
Tax ID family
Bay Pines Vamc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1689893638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 5005",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PINES HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "WREN",
        "authorized_official_title_or_position": "CERTIFIED THERAPEUTIC RECREATION SP",
        "authorized_official_telephone_number": "727-398-6661",
        "authorized_official_credential": "M.S / CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.