Bayside Terrace

LBN: Nic 4 Bayside Terrace Leasing Llc
Bayside Terrace is an health care organization with primary practice located at 9381 U.S. 19 , Pinellas Park FL 33782. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Nic 4 Bayside Terrace Leasing Llc can be contacted via phone (727) 576-1234, or through Ryu, Jane via phone (212) 479-5270.

Contact Information

Primary practice address
9381 U.S. 19 Pinellas Park FL 33782
Phone: (727) 576-1234
Fax: (727) 570-2257
Website:
Map and Directions
Authorized official contact:
Name: Ryu, Jane
Phone: (212) 479-5270

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 6139 Florida

Profile Details

NPI number 1528402229
LBN Legal business name Nic 4 Bayside Terrace Leasing Llc
DBA Doing business as Bayside Terrace
Authorized official Ryu, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2013
Last updated Dec 8th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528402229 NPPES
Florida Other 004295900 MEDICAID AL WAIVER

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