Provider Demographics
NPI:1780656215
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:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:VESLEY-MASSEY
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:804-758-5773
Practice Address - Street 1:5306 OLD VIRGINIA ST.
Practice Address - Street 2:
Practice Address - City:URBANNA
Practice Address - State:VA
Practice Address - Zip Code:23175
Practice Address - Country:US
Practice Address - Phone:804-758-2386
Practice Address - Fax:804-758-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0087703283Medicaid
VA0087008261Medicaid
VA0087307333Medicaid
VA008770328Medicaid
VA010070813Medicaid
VA0155578690Medicaid
VA008740305Medicaid