SCG BAYWOOD LLC (NPI# 1811999881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811999881 |
| Entity Type | Organization |
| Organization Name | SCG BAYWOOD LLC |
| Other Organization Name | BAYWOOD NURSING CENTER |
| Practice Address |
2000 17th Ave S St Petersburg FL 33712 |
| Mailing Address |
1240 Marbella Plaza Dr Tampa FL 33619-7906 |
| Practice Telephone | 7278213544 |
| Practice Fax Number | 7278210414 |
| Mailing Telephone | 8133412700 |
| Mailing Fax Number | 8133412755 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MR. ROBERT DANIEL VAUGHAN (PRESIDENT) |
| Authorized Official Telephone | 8133412700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2788 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 031665200 | 05 |
| Other Name | Type Code |
|---|---|
| BayWood Nursing Center | Doing Business As Name - Organization |
| Street Address |
2000 17TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386868594 | Baywood Nursing Center, Inc | Nursing Facility/Intermediate Care Facility | 2000 17th Ave S, St Petersburg, FL 33712-2714 | 2007-04-12 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138985 | Coquina Key Health Care Center, Inc. | Skilled Nursing Facility | 435 42nd Ave S, St Petersburg, FL 33705-4504 | 2006-08-07 |
| 1225046584 | Eagle Lake Foundation Inc | Skilled Nursing Facility | 1100 66th St N, St Petersburg, FL 33710-6224 | 2006-08-03 |
| 1467488981 | Suncoast Manor Retirement Community, Inc. | Skilled Nursing Facility | 1095 Pinellas Point Dr S, St Petersburg, FL 33705-6154 | 2006-06-25 |
| 1295723591 | Senior Care Golfview LLC | Skilled Nursing Facility | 3636 10th Ave N, St Petersburg, FL 33713-6528 | 2005-10-11 |
| 1225026818 | Saint Petersburg Snf LLC | Skilled Nursing Facility | 811 Jackson St N, St Petersburg, FL 33705-1238 | 2005-10-09 |
| 1013904234 | Bon Secours - Maria Manor Nursing Care Center LLC | Skilled Nursing Facility | 10300 4th St North, St Petersburg, FL 33716-3810 | 2005-10-03 |
| 1295722817 | Sovereign Healthcare of Pinellas Point, LLC | Skilled Nursing Facility | 5601 31st St S, St Petersburg, FL 33712-4605 | 2005-09-29 |
| 1740276385 | Snell Island Snf LLC | Skilled Nursing Facility | 4500 Indianapolis St Ne, St Petersburg, FL 33703-4317 | 2005-09-20 |
| 1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
| 1134125362 | Sa-st. Petersburg, LLC | Skilled Nursing Facility | 521 69th Ave N, St Petersburg, FL 33702-6810 | 2005-06-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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| 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.