Provider Demographics
NPI:1871581348
Name:BAYLEY SENIOR CARE
Entity type:Organization
Organization Name:BAYLEY SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-347-5545
Mailing Address - Street 1:990 BAYLEY DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-1664
Mailing Address - Country:US
Mailing Address - Phone:513-347-5500
Mailing Address - Fax:513-347-5553
Practice Address - Street 1:990 BAYLEY DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1664
Practice Address - Country:US
Practice Address - Phone:513-347-5500
Practice Address - Fax:513-347-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 261QA0600X
OH4344313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3028OtherANTHEM O/PA
OH30859OtherANTHEM SISTERS OF CHARITY
OH0830766Medicaid
OH365818Medicare ID - Type Unspecified