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BAYSHORE MEMORY CARE
NPI 1366807562
Point of Service in Naples, FL

Active since December 15, 2015CLIA 10D2101250 · Waiver
1260 CREEKSIDE BLVD E, NAPLES, FL 34109(239) 213-9370(239) 598-5409 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayshore Memory Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSHORE MEMORY CARE (NPI 1366807562) is a healthcare organization registered as a point of service in Naples, Florida and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Christine G. Varner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366807562
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameBAYSHORE MEMORY CARE
Location Address1260 CREEKSIDE BLVD ENaples, FL 34109-0579
Mailing Address1260 Creekside Blvd ENaples, FL 34109-0579 · (239) 213-9370 · Fax (239) 598-5409
Phone(239) 213-9370
Fax(239) 598-5409
Organization SubpartNo
Authorized OfficialChristine G. VarnerExecutive Director · (239) 213-9370
Enumeration DateDecember 15, 2015
✔ NPI 1366807562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in FL · AL 12760
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1260 CREEKSIDE BLVD E, Naples, FL 34109
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Other Identifiers 1

OtherAL 12760FL · Assisted Living License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2101250

Bayshore Memory Care · Naples, FL
Active · expires Aug 30, 2027
CLIA Number10D2101250
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorChristine Varner
Laboratory Phone(239) 213-9370
Laboratory LocationBayshore Memory Care1260 Creekside Blvd E, Naples, FL 34109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayshore Memory Care's NPI number?

The NPI number for Bayshore Memory Care is 1366807562. It was assigned to this organization in the NPPES registry on December 15, 2015.

Where is Bayshore Memory Care located?

Bayshore Memory Care is located at 1260 Creekside Blvd E, Naples, FL 34109. The listed phone number is (239) 213-9370.

What is Bayshore Memory Care's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Bayshore Memory Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2101250) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayshore Memory Care was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.