OrganizationActive
Bay Pines Va Medical Center
NPI 1003070608 · Skilled Nursing Facility · Daytona Beach, FL
Provider details
- NPI number
- 1003070608
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Larcka, Acting Chief Pharmacist(727) 398-6661
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1920 Mason Ave
Daytona Beach, FL 32117-5103
Phone: (386) 274-3460
Fax: (386) 274-3487
Street-level locationGet directions
Mailing address
712 Derbyshire Rd
Daytona Beach, FL 32114-1606
Registry dates
- Enumerated
- 2008-07-12
- Last updated
- 2008-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.