Provider Demographics
NPI:1619020856
Name:BAY HUMAN SERVICES INC
Entity Type:Organization
Organization Name:BAY HUMAN SERVICES INC
Other - Org Name:SAGINAW BAY HUMAN SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:PILOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-846-9631
Mailing Address - Street 1:PO BOX 741
Mailing Address - Street 2:125 S FOREST STREET
Mailing Address - City:STANDISH
Mailing Address - State:MI
Mailing Address - Zip Code:48658
Mailing Address - Country:US
Mailing Address - Phone:989-846-9631
Mailing Address - Fax:989-846-6281
Practice Address - Street 1:125 S FOREST STREET
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:MI
Practice Address - Zip Code:48658
Practice Address - Country:US
Practice Address - Phone:989-846-9631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI884278320800000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities