MEDICARE: BAYVIEW OPERATOR, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1043819212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYVIEW OPERATOR, LLC

Provider Business Mailing Address
First Line	:	1608 ROUTE 88 STE 301
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-3009
Country	:	US
Telephone Number	:	732-903-1985
Fax Number	:

Provider Business Practice Location Address
First Line	:	860 N QUIDNESSETT RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-1000
Country	:	US
Telephone Number	:	401-884-1802
Fax Number	:

Authorized Official
Title or Position	:	VP OF RISK MANAGEMENT
Name	:	SHLOMO FREUNDLICH
Credential	:
Telephone Number	:	732-903-1971

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	04/03/2024

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Directions to “BAYVIEW OPERATOR, LLC ” Practice Location

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