Healthcare Provider Details

I. General information

NPI: 1992251698
Provider Name (Legal Business Name): BAYHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7027 DUBLIN BLVD SUITE 100
DUBLIN CA
94568-3018
US

IV. Provider business mailing address

1821 S BASCOM AVE #283
CAMPBELL CA
95008
US

V. Phone/Fax

Practice location:
  • Phone: 408-628-1272
  • Fax:
Mailing address:
  • Phone: 408-858-4693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BILL HWANG
Title or Position: CFO
Credential:
Phone: 408-858-4693