Healthcare Provider Details

I. General information

NPI: 1871581348
Provider Name (Legal Business Name): BAYLEY SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 BAYLEY DR
CINCINNATI OH
45233-1664
US

IV. Provider business mailing address

990 BAYLEY DR
CINCINNATI OH
45233-1664
US

V. Phone/Fax

Practice location:
  • Phone: 513-347-5500
  • Fax: 513-347-5553
Mailing address:
  • Phone: 513-347-5500
  • Fax: 513-347-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number4344
License Number StateOH

VIII. Authorized Official

Name: MRS. ADRIENNE A WALSH
Title or Position: PRESIDENT/CEO
Credential:
Phone: 513-347-5545