Bayamo Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10726 Issued in FL

Legal business name

BAYAMO ASSISTED LIVING

Practice address

1199 SW Bayamo Ave
Port Saint Lucie, FL 34953-1852

Phone

(772) 873-2903

Fax

(772) 873-0085

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lorna Campbell

Title

Ceo

Phone

(772) 873-2903

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1700047974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 SW BAYAMO AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531852",
            "telephone_number": "772-873-2903",
            "fax_number": "772-873-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 SW BAYAMO AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531852",
            "telephone_number": "772-873-2903",
            "fax_number": "772-873-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAMO ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-873-2903",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6913636 00.",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elinea Basan
• Deidra Bass
• Britney D Bates, LAT/ATC
• Yomaris Patricia Bauza-Rodriguez, FNP-C
• Christina Lynne Baxter
• Bayshore Pharmacy
• Bayshore Residence Alf (Assisted Living Facility)
• Breeyon Beachel, PA-C
• Vanessa Beaubrun, RN
• Pierre Beauge, RN

• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Jun 20, 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.