BAY PORT ASSISTED LIVING INC.
NPI 1679290753
Assisted Living Facility in Fort Walton Beach, FL

Active since October 20, 2022CLIA 10D2240027 · Waiver
243 HOLLYWOOD BLVD NW, FORT WALTON BEACH, FL 32548(850) 601-9157 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Port Assisted Living Inc. NPPES

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

BAY PORT ASSISTED LIVING INC. (NPI 1679290753), doing business as Bay Port Of Fort Walton Beach, is a healthcare organization registered as an assisted living facility in Fort Walton Beach, Florida and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Seth Walker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679290753
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBAY PORT ASSISTED LIVING INC.
Location Address243 HOLLYWOOD BLVD NWFort Walton Beach, FL 32548-4783
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805
Organization SubpartNo
Authorized OfficialSeth WalkerCfo · (850) 583-7990
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
NPI 1679290753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
243 HOLLYWOOD BLVD NW, Fort Walton Beach, FL 32548

Other Names 1

Doing Business AsBay Port Of Fort Walton Beach

Other Identifiers 1

Medicaid114167800FL

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 10D2240027

Bay Port Assisted Living Inc · Fort Walton Beach, FL
Active · expires Oct 14, 2027
CLIA Number10D2240027
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorMelanie Taulbee
Laboratory Phone(850) 243-3333
Laboratory LocationBay Port Assisted Living Inc243 Hollywood Blvd NE, Fort Walton Beach, FL 32548
CLIA data matches this NPI record on: Name
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.

Occupational Therapist
243 HOLLYWOOD BLVD NW
FORT WALTON BEACH, FL 32548
Assisted Living Facility
243 HOLLYWOOD BLVD NW
FORT WALTON BEACH, FL 32548
Occupational Therapist
243 HOLLYWOOD BLVD NW
FORT WALTON BEACH, FL 32548

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 Bay Port Assisted Living Inc.'s NPI number?

The NPI number for Bay Port Assisted Living Inc. is 1679290753. It was assigned to this organization in the NPPES registry on October 20, 2022. The provider is doing business as Bay Port Of Fort Walton Beach.

Where is Bay Port Assisted Living Inc. located?

Bay Port Assisted Living Inc. is located at 243 Hollywood Blvd NW, Fort Walton Beach, FL 32548. The listed phone number is (850) 601-9157.

What is Bay Port Assisted Living Inc.'s specialty?

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

Does Bay Port Assisted Living Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2240027) is associated with this NPI, valid through October 14, 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 Bay Port Assisted Living Inc. was last updated on October 20, 2022. 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.