Active NPI
Baya Nursing and Rehabilitation LLC
- Skilled Nursing Facility
- Lake City, FL
National Provider Identifier
1811233570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF12700961
- Legal business name
- BAYA NURSING AND REHABILITATION LLC
- Doing business as
- Baya Pointe Nursing and Rehabilitation Center
- Practice address
- 587 SE Ermine Ave
Lake City, FL 32025-6126 - Phone
- (386) 752-7800
- Fax
- (386) 752-7337
- NPI assigned
- Dec 27, 2012
- 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
- Craig E Robinson
- Title
- Manager
- Phone
- (407) 215-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF12700961 | FL | Primary |
Addresses
Primary practice location
587 SE Ermine Ave
Lake City, FL 32025-6126
Mailing address
587 SE Ermine Ave
Lake City, FL 32025-6126
Phone (386) 752-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009268100 | Medicaid | FL |
Other names 1
- Baya Pointe Nursing and Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | Consulate Healthcare |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1811233570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 SE ERMINE AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256126",
"telephone_number": "386-752-7800",
"fax_number": "386-752-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 SE ERMINE AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256126",
"telephone_number": "386-752-7800",
"fax_number": "386-752-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYA NURSING AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-27",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-215-9800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF12700961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009268100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
"affiliationName": "Consulate Healthcare",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "800 Concourse Pkwy S Ste 200",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327516148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Baya Pointe Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baya Pointe Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.