Healthcare Provider Details

I. General information

NPI: 1366430415
Provider Name (Legal Business Name): BASSARD CONVALESCENT HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3269 D ST
HAYWARD CA
94541-4585
US

IV. Provider business mailing address

3269 D ST
HAYWARD CA
94541-4585
US

V. Phone/Fax

Practice location:
  • Phone: 510-537-6700
  • Fax: 510-537-6707
Mailing address:
  • Phone: 510-537-6700
  • Fax: 510-537-6707

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: YVONNE BASSARD
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 510-537-6700