Active NPI
Meridian Nursing and Rehabilitation Inc
Doing business as Bayshore Health Care Center
- Skilled Nursing Facility
- Holmdel, NJ
National Provider Identifier
1891952743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MERIDIAN NURSING AND REHABILITATION INC
- Doing business as
- Bayshore Health Care Center
- Practice address
- 715 N Beers St
Holmdel, NJ 07733-1503 - Phone
- (732) 847-3000
- Fax
- (732) 847-3794
- NPI assigned
- May 19, 2008
- Last updated
- Feb 20, 2014
- 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
- Mrs. Phyllis A Deyo
- Title
- Director LTC Account
- Phone
- (732) 751-3624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
715 N Beers St
Holmdel, NJ 07733-1503
Mailing address
3349 Hwy 138 BLDG C
Suite a
Wall Township, NJ 07719-9671
Phone (732) 751-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0388033 | Medicaid | NJ | |
| 4490614 | Medicaid | NJ |
Other names 1
- Bayshore Health Care Center
National Provider Directory
National Provider DirectoryLocations
1725 Meridian Trl
Wall Township, NJ 07719
Phone (732) 312-1692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392854400000",
"number": "1891952743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3349 HWY 138 BLDG C",
"address_2": "SUITE A",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199671",
"telephone_number": "732-751-3600",
"fax_number": "732-751-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331503",
"telephone_number": "732-847-3000",
"fax_number": "732-847-3794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN NURSING AND REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2014-02-20",
"status": "A",
"authorized_official_last_name": "DEYO",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR LTC ACCOUNT",
"authorized_official_telephone_number": "732-751-3624",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0388033",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4490614",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bayshore Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holmdel, NJ
- Kellie Aguas Mendes, RD
- Meridian Hospitals Corporation (The SleepCare Center at Bayshore)
- Meridian Hospitals Corporation
- Meridian Hospitals Corporation (Bayshore Community Hospital)
- Meridian Nursing and Rehabilitation Inc (Bayshore Health Care Center)
- Meridian Nursing and Rehabilitation, Inc (Bayshore Healthcare Center)
- Andrew Dale Meyers, D.D.S.
- Michael Dicarlo DDS PC (Dental Health Center of Holmdel)
- Middletown/Holmdel Physical Therapy
- Midjersey Anesthesia Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.