Organization Active NPI

Bay Center Rehabilitation, LLC

Doing business as Sweet Bay Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Panama City, FL
National Provider Identifier
1700880630
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF10340961 Issued in FL
Legal business name
BAY CENTER REHABILITATION, LLC
Doing business as
Sweet Bay Health and Rehabilitation Center
Practice address
1336 Saint Andrews Blvd
Panama City, FL 32405-2762
Phone
(863) 533-0578
Fax
(863) 533-0736
NPI assigned
Jun 9, 2005
Last updated
Feb 6, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTHSTONE SENIOR COMMUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Howard Jaffe
Title
President
Phone
(215) 346-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF10340961 FL Primary

Addresses

Primary practice location

1336 Saint Andrews Blvd
Panama City, FL 32405-2762

Mailing address

1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 801-7600

Other identifiers 1

IdentifierTypeStateIssuer
021298900MedicaidFL

Other names 1

  • Sweet Bay Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Part of
Hearthstone Senior Communities Inc

Locations

1336 Saint Andrews Blvd
Panama City, FL 32405
Phone (850) 248-0010

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1700880630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012108",
            "telephone_number": "561-801-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 SAINT ANDREWS BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052762",
            "telephone_number": "863-533-0578",
            "fax_number": "863-533-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CENTER REHABILITATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTHSTONE SENIOR COMMUNITIES, INC.",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10340961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021298900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Bay Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.