Healthcare Provider Details

I. General information

NPI: 1346333275
Provider Name (Legal Business Name): SKY BLUE HEALTH INC DBA HILLSIDE CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38650 MISSION BLVD
FREMONT CA
94536-4391
US

IV. Provider business mailing address

38650 MISSION BLVD
FREMONT CA
94536-4391
US

V. Phone/Fax

Practice location:
  • Phone: 510-793-3000
  • Fax: 510-745-7300
Mailing address:
  • Phone: 510-793-3000
  • Fax: 510-745-7300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. CATHERINE P JOSEPH
Title or Position: DIRECTOR OF OPERATION
Credential: R.N.
Phone: 510-793-3000