Provider Demographics
NPI:1215925581
Name:BAYVIEW CENTER, LLC
Entity type:Organization
Organization Name:BAYVIEW CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ALISE
Authorized Official - Last Name:ZIOLKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-558-6629
Mailing Address - Street 1:301 S BAY ST
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-4005
Mailing Address - Country:US
Mailing Address - Phone:352-357-8105
Mailing Address - Fax:352-589-1182
Practice Address - Street 1:301 S BAY ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-4005
Practice Address - Country:US
Practice Address - Phone:352-357-8105
Practice Address - Fax:352-589-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1382096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0004442341OtherAETNA
FLC105324OtherUNITED AMERICAN
FL71-00475OtherEVERCARE HH CONNECTION
FL026044400Medicaid
FLM96OtherBLUE CROSS BLUE SHIELD
FL026044400Medicaid
FL026044400Medicaid