Bayside Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

889 Issued in LA

Legal business name

BAYSIDE HEALTHCARE CENTER LLC

Practice address

3201 Wall Blvd
Gretna, LA 70056-7755

Phone

(504) 393-1515

Fax

(504) 391-7426

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Laborde

Title

Coo

Phone

(985) 429-8800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1760479166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W UNIVERSITY AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704011319",
            "telephone_number": "985-429-8800",
            "fax_number": "985-542-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567755",
            "telephone_number": "504-393-1515",
            "fax_number": "504-391-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "985-429-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510912",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amina Batiste
• Sarath Bose Battula, M.D.
• Sarah E Baur, MA,CCC-A
• Tammy Bayard, MSW
• Bayou Medical Care
• Bayside Senior Care, L.L.C.
• Updesh Bedi, M.D.
• Behavior and Therapeutic Solutions of Louisiana LLS
• Kenneth James Belanger, D.D.S.
• Belle Vie Living Center LLC

• All providers in Gretna, LA
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.