Healthcare Provider Details

I. General information

NPI: 1003740960
Provider Name (Legal Business Name): DIANA'S CARE HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27402 MANON AVE
HAYWARD CA
94544-4614
US

IV. Provider business mailing address

24647 MOHR DR
HAYWARD CA
94545-2309
US

V. Phone/Fax

Practice location:
  • Phone: 510-390-8078
  • Fax: 510-880-7230
Mailing address:
  • Phone: 510-390-8078
  • Fax: 510-880-7230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: WENDY WONG
Title or Position: MANAGER
Credential:
Phone: 510-390-8078