Provider Demographics
NPI:1568427995
Name:BAY TOWER NURSING CENTER
Entity Type:Organization
Organization Name:BAY TOWER NURSING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-351-4444
Mailing Address - Street 1:101 PLAIN STREET
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4824
Mailing Address - Country:US
Mailing Address - Phone:401-351-4444
Mailing Address - Fax:401-453-2978
Practice Address - Street 1:101 PLAIN STREET
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4824
Practice Address - Country:US
Practice Address - Phone:401-351-4444
Practice Address - Fax:401-453-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI0640313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4105077Medicaid
RI5045OtherBLUE CROSS
RI403086OtherBLUE CHIP
RI710138OtherUHC
RI4105077Medicaid