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BAYSIDE TERRACE
NPI 1528402229
Assisted Living Facility in Pinellas Park, FL

Active since April 24, 2013
9381 U.S. 19, PINELLAS PARK, FL 33782(727) 576-1234(727) 570-2257 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bayside Terrace NPPES

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

BAYSIDE TERRACE (NPI 1528402229) is a healthcare organization registered as an assisted living facility in Pinellas Park, Florida and active in the NPI registry since April 2013. The organization lists Jane Ryu, President/ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1528402229
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNIC 4 BAYSIDE TERRACE LEASING LLC
Location Address9381 U.S. 19Pinellas Park, FL 33782
Mailing AddressPo Box 1700, Nic 4 Bayside Terrace Leasing Llc, C/o Holiday RetirementLake Oswego, OR 97035 · (971) 245-8020 · Fax (503) 431-2296
Phone(727) 576-1234
Fax(727) 570-2257
Organization SubpartNo
Authorized OfficialJane RyuPresident/ceo/cfo · (212) 479-5270
Enumeration DateApril 24, 2013
Last NPPES UpdateDecember 8, 2016
✔ NPI 1528402229 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 FL · 6139
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.
9381 U.S. 19, Pinellas Park, FL 33782
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Other Names 1

Doing Business AsBayside Terrace

Other Identifiers 1

Other004295900FL · Medicaid Al Waiver

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 Nic 4 Bayside Terrace Leasing LLC's NPI number?

The NPI number for Nic 4 Bayside Terrace Leasing LLC is 1528402229. It was assigned to this organization in the NPPES registry on April 24, 2013. The provider is doing business as Bayside Terrace.

Where is Nic 4 Bayside Terrace Leasing LLC located?

Nic 4 Bayside Terrace Leasing LLC is located at 9381 U.S. 19, Pinellas Park, FL 33782. The listed phone number is (727) 576-1234.

What is Nic 4 Bayside Terrace Leasing LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nic 4 Bayside Terrace Leasing LLC was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.