Provider Demographics
NPI:1871297093
Name:BAY AGING
Entity type:Organization
Organization Name:BAY AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:VESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-758-2386
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:URBANNA
Mailing Address - State:VA
Mailing Address - Zip Code:23175-0610
Mailing Address - Country:US
Mailing Address - Phone:804-758-2386
Mailing Address - Fax:
Practice Address - Street 1:5306 OLD VIRGINIA STREET
Practice Address - Street 2:
Practice Address - City:URBANNA
Practice Address - State:VA
Practice Address - Zip Code:23175-2317
Practice Address - Country:US
Practice Address - Phone:804-758-2386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care