THE LILAC AT BAYVIEW
NPI 1417611369
Skilled Nursing Facility in Saint Augustine, FL

Active since October 27, 2021CLIA Certified · 2 labs
161 MARINE ST, SAINT AUGUSTINE, FL 32084(904) 829-3475 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Lilac At Bayview NPPES

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

THE LILAC AT BAYVIEW (NPI 1417611369) is a healthcare organization registered as a skilled nursing facility in Saint Augustine, Florida and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Batya Gorelick, Coo, as its authorized official.

NPPES Registry Identity

NPI1417611369
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST AUGUSTINE FL OPCO LLC
Location Address161 MARINE STSaint Augustine, FL 32084-5154
Mailing Address980 Sylvan AveEnglewood Cliffs, NJ 07632-3301
Organization SubpartNo
Authorized OfficialBatya GorelickCoo · (904) 829-3475
Enumeration DateOctober 27, 2021
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
NPI 1417611369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
Also ListedRespite CareTaxonomy 385H00000X
161 MARINE ST, Saint Augustine, FL 32084

Other Names 1

Doing Business AsThe Lilac At Bayview

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 10D0645076

St Augustine Fl Opco LLC The Lilac At Bayview · Saint Augustine, FL
Active · expires Aug 31, 2026
CLIA Number10D0645076
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGwendolyn Strunk-Gamel
Laboratory Phone(904) 829-3475
Laboratory LocationSt Augustine Fl Opco LLC The Lilac At Bayview161 Marine Street, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2161123

St Augustine Fl Opco LLC · Saint Augustine, FL
Active · expires Jan 27, 2027
CLIA Number10D2161123
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorHeather C. Salerno
Laboratory Phone(904) 829-3780
Laboratory LocationSt Augustine Fl Opco LLC161 Marine St, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
161 MARINE ST
SAINT AUGUSTINE, FL 32084
Physical Therapist
161 MARINE ST
SAINT AUGUSTINE, FL 32084
Assisted Living Facility
161 MARINE ST
ST AUGUSTINE, FL 32084
Skilled Nursing Facility
161 MARINE ST
ST AUGUSTINE, FL 32084

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 St Augustine Fl Opco LLC's NPI number?

The NPI number for St Augustine Fl Opco LLC is 1417611369. It was assigned to this organization in the NPPES registry on October 27, 2021. The provider is doing business as The Lilac At Bayview.

Where is St Augustine Fl Opco LLC located?

St Augustine Fl Opco LLC is located at 161 Marine St, Saint Augustine, FL 32084. The listed phone number is (904) 829-3475.

What is St Augustine Fl Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does St Augustine Fl Opco LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St Augustine Fl Opco LLC accept?

Health plans from Florida Health Care Plans list St Augustine Fl Opco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Augustine Fl Opco LLC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.