Healthcare Provider Details

I. General information

NPI: 1699798033
Provider Name (Legal Business Name): NADHI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/20/2008
Certification Date:
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: 510-448-4403
Mailing address:
  • Phone: 510-782-1845
  • Fax: 510-448-4403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number23014541
License Number StateCA

VIII. Authorized Official

Name: PREMA THEKKEK
Title or Position: VICE PRESIDENT
Credential:
Phone: 510-782-1845