Healthcare Provider Details

I. General information

NPI: 1285386409
Provider Name (Legal Business Name): INTELLIHEALTH CARE MANAGEMENT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26660 PATRICK AVE
HAYWARD CA
94544-3808
US

IV. Provider business mailing address

26660 PATRICK AVE
HAYWARD CA
94544-3808
US

V. Phone/Fax

Practice location:
  • Phone: 510-782-1845
  • Fax: 510-782-9913
Mailing address:
  • Phone: 510-782-1845
  • Fax: 510-782-9913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PRAXEDES BERNARDO DEMESA
Title or Position: PRESIDENT
Credential:
Phone: 209-406-6610