Active NPI
Bay Group Healthcare Northwest
- Home Health Agency
- Crown Point, IN
National Provider Identifier
1770034563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BAY GROUP HEALTHCARE NORTHWEST
- Practice address
- 138 S Main St Ste 303
Crown Point, IN 46307-4089 - Phone
- (773) 551-1222
- NPI assigned
- Oct 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Maxim Azarov
- Title
- Administrator
- Phone
- (773) 551-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
138 S Main St Ste 303
Crown Point, IN 46307-4089
Mailing address
8569 Doubletree Dr N
Crown Point, IN 46307-9805
Phone (773) 551-1222
National Provider Directory
National Provider Directory- Tax ID family
- Bay Group Healthcare Northwest
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Crown Point, IN
- NPI 1699226019
Locations
138 S Main St
Ste 303
Crown Point, IN 46307
Phone (773) 551-1222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476662400000",
"number": "1770034563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8569 DOUBLETREE DR N",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079805",
"telephone_number": "773-551-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 S MAIN ST STE 303",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074089",
"telephone_number": "773-551-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY GROUP HEALTHCARE NORTHWEST",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A",
"authorized_official_last_name": "AZAROV",
"authorized_official_first_name": "MAXIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-551-1222",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.