BAYWOOD NURSING CENTER, INC (NPI# 1386868594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386868594 |
| Entity Type | Organization |
| Organization Name | BAYWOOD NURSING CENTER, INC |
| Practice Address |
2000 17th Ave S St Petersburg FL 33712-2714 |
| Practice Telephone | 7278213544 |
| Practice Fax Number | 7278210414 |
| Mailing Telephone | 7278213544 |
| Mailing Fax Number | 7278210414 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN GUYER (ADMINISTRATOR) |
| Authorized Official Telephone | 7278213544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | FL | Nursing & Custodial Care Facilities | |
| X | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| Street Address |
2000 17TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999881 | Scg Baywood LLC | Skilled Nursing Facility | 2000 17th Ave S, St Petersburg, FL 33712 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174898605 | Eagle Lake Rehab & Nursing, LLC | Nursing Facility/Intermediate Care Facility | 1100 66th St N, St Petersburg, FL 33710-6224 | 2012-03-16 |
| 1659694321 | Lp St. Petersburg, LLC | Nursing Facility/Intermediate Care Facility | 3636 10th Ave N, St Petersburg, FL 33713-6528 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021550 | Lighthouz Home Health Care LLC | Nursing Facility/Intermediate Care Facility | 6418 Seabury Way, Orlando, FL 32818-1750 | 2020-04-13 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1861895476 | Miami Va Health Care System | Nursing Facility/Intermediate Care Facility | 8765 Sw 146th St, Palmetto Bay, FL 33176-8083 | 2014-09-28 |
| 1578977799 | A Labor of Love Doula Services LLC | Nursing Facility/Intermediate Care Facility | 12311 164th Ct N, Jupiter, FL 33478-6568 | 2014-06-16 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1013336346 | Bonaventure Health Services Inc. | Nursing Facility/Intermediate Care Facility | 123 Nw 13th St Ste 214-05, Boca Raton, FL 33432-1641 | 2014-04-15 |
| 1295153716 | Jeffrey D Mandelkorn Phd Pa | Nursing Facility/Intermediate Care Facility | 2000 Ne 17th St, #3, Fort Lauderdale, FL 33305-2565 | 2014-04-01 |
| 1801212097 | Faith Home Care Alf Inc. | Nursing Facility/Intermediate Care Facility | 114 Euclid Ave, Seffner, FL 33584-8000 | 2014-03-12 |
| 1295150712 | Happy Living LLC | Nursing Facility/Intermediate Care Facility | 582 Koala Dr, Kissimmee, FL 34759-4210 | 2014-02-19 |
| 1902243207 | Senior Home Maker Companion | Nursing Facility/Intermediate Care Facility | 13440 Sw 36 St, Miami, FL 33175 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on BAYWOOD NURSING CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.