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BAYFIELD ASSISTED LIVING NPI 1912330457


NPI Information

NPI: 1912330457
Provider Name: BAYFIELD ASSISTED LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2078845

Address:
3932 MONITOR RD
BAY CITY, MI
ZIP 48706
Phone: (989) 684-9600
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BAYFIELD ASSISTED LIVING is an assisted living facility in Bay City, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BAYFIELD ASSISTED LIVING NPI is 1912330457. The provider is registered as an organization entity type.

The provider's business location address is:

3932 MONITOR RD
BAY CITY, MI
ZIP 48706-298
Phone: (989) 684-9600
Fax: (989) 684-9800

The provider's authorized official is Samantha Thelen .
The authorized official title is Director Of Operations and has the following contact phone number (616) 719-5895.

The CLIA number assigned to this NPI record is 23D2078845 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 3/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302F00000XExclusive Provider OrganizationAH090323912MICHIGANNo
2310400000XAssisted Living FacilityAH800315846MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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