Bay Ridge Assisted Living Center
Assisted Living Facility in Traverse City, MI. Organization (NPI-2).
Details
- NPI
- 1487080321
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Ridge Assisted Living Center
- Organization subpart
- No
- Enumeration date
- Sep 24, 2013
- Last updated
- Sep 24, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AH280027829 | MI | Yes |
Practice location
3825 Scenic RdgTraverse City, MI 49684-3900
Phone 231-932-9757 · Fax 231-932-8376
Mailing address
3825 Scenic RdgTraverse City, MI 49684-3900
Phone 231-932-9757 · Fax 231-932-8376
Authorized official
Scott A Reenders
Authorized Agent
6168422425
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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