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THE WILLOWS AT HOLMDEL
NPI 1518159615
Assisted Living Facility in Holmdel, NJ

Active since August 13, 2007CLIA 31D2071636 · Waiver
713 N BEERS ST, HOLMDEL, NJ 07733(732) 335-4405(732) 335-4464 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Willows At Holmdel NPPES

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

THE WILLOWS AT HOLMDEL (NPI 1518159615) is a healthcare organization registered as an assisted living facility in Holmdel, New Jersey and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Barbara Fyfe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1518159615
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBAYSHORE HEALTH CARE CENTER
Location Address713 N BEERS STHolmdel, NJ 07733
Mailing Address713 N Beers StHolmdel, NJ 07733 · (732) 335-4405 · Fax (732) 335-4464
Phone(732) 335-4405
Fax(732) 335-4464
Organization SubpartYesParent: Bayshore Health Care Center Inc
Authorized OfficialBarbara FyfeAdministrator · (732) 335-4405
Enumeration DateAugust 13, 2007
Last NPPES UpdateDecember 14, 2009
✔ NPI 1518159615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NJ · 550003
Definition
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.
713 N BEERS ST, Holmdel, NJ 07733
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Other Names 1

Doing Business AsThe Willows At Holmdel

Other Identifiers 1

Medicaid0109223NJ

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 31D2071636

The Willows At Holmdel · Holmdel, NJ
Active · expires Jan 15, 2028
CLIA Number31D2071636
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorNicole Serluco
Laboratory Phone(732) 335-4405
Laboratory LocationThe Willows At Holmdel713 North Beers Street, Holmdel, NJ 07733
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DANIEL FLYUS PTA
Physical Therapy Assistant
713 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (917) 435-9747
COMPLETE CARE AT HOLMDEL LLC
Assisted Living Facility
713 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (732) 335-4405
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Assisted Living Facility
713 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (732) 847-3766

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 Health Care Center's NPI number?

The NPI number for Bayshore Health Care Center is 1518159615. It was assigned to this organization in the NPPES registry on August 13, 2007. The provider is doing business as The Willows At Holmdel.

Where is Bayshore Health Care Center located?

Bayshore Health Care Center is located at 713 N Beers St, Holmdel, NJ 07733. The listed phone number is (732) 335-4405.

What is Bayshore Health Care Center's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bayshore Health Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2071636) is associated with this NPI, valid through January 15, 2028. 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 Health Care Center was last updated on December 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.