MEDICARE: BAYVIEW CENTER FOR MENTAL HEALTH INC

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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912123456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYVIEW CENTER FOR MENTAL HEALTH INC

Provider Business Mailing Address
First Line	:	700 SE 3RD AVE
Second Line	:	SUITE 100
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1139
Country	:	US
Telephone Number	:	954-414-8700
Fax Number	:	954-467-9966

Provider Business Practice Location Address
First Line	:	633 NE 167TH ST
Second Line	:	SUITE 801
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2442
Country	:	US
Telephone Number	:	305-892-4600
Fax Number	:	954-467-9966

Authorized Official
Title or Position	:	CEO & PRES
Name	:	MR. JAMES SLEEPER
Credential	:
Telephone Number	:	954-414-8700

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	04/12/2011

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Directions to “BAYVIEW CENTER FOR MENTAL HEALTH INC ” Practice Location

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